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Sample records for multimodal intervention raises

  1. Multimodal intervention raises smoking cessation rate during pregnancy

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F;

    2003-01-01

    .003). The adjusted odds ratio (OR) for smoking cessation was 4.20 (95% CI 2.13-8.03). Logistic regression analysis showed a significant positive association of smoking cessation with low caffeine consumption in pregnancy, many years in school, no exposure to passive smoking outside the home, and previous attempts......BACKGROUND: The aim was to study the effect of a multimodal smoking cessation intervention regimen on a number of pregnant smokers. METHODS: A prospective intervention study was designed where participants were allocated to intervention or control based on their birth date. The study included 647...... pregnant smokers. The intervention group (n = 327) received initial individual smoking cessation counseling supplemented by an invitation to join, individually or in a group, a smoking cessation program with nicotine replacement therapy as a voluntary option. Intervention was designed as an integral part...

  2. Severe Speech Sound Disorders: An Integrated Multimodal Intervention

    Science.gov (United States)

    King, Amie M.; Hengst, Julie A.; DeThorne, Laura S.

    2013-01-01

    Purpose: This study introduces an integrated multimodal intervention (IMI) and examines its effectiveness for the treatment of persistent and severe speech sound disorders (SSD) in young children. The IMI is an activity-based intervention that focuses simultaneously on increasing the "quantity" of a child's meaningful productions of target words…

  3. Multimodal intervention raises smoking cessation rate during pregnancy

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F

    2003-01-01

    .003). The adjusted odds ratio (OR) for smoking cessation was 4.20 (95% CI 2.13-8.03). Logistic regression analysis showed a significant positive association of smoking cessation with low caffeine consumption in pregnancy, many years in school, no exposure to passive smoking outside the home, and previous attempts...

  4. Multimodal intervention raises smoking cessation rate during pregnancy

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F

    2003-01-01

    of the midwives' prenatal care. All pregnant smokers in the usual care group (n = 320) received standard counseling from a midwife. Outcome was self-reported smoking cessation in the 37th week of pregnancy and the reported cessation was validated by cotinine saliva concentration. RESULTS: Self-reported cessation.......003). The adjusted odds ratio (OR) for smoking cessation was 4.20 (95% CI 2.13-8.03). Logistic regression analysis showed a significant positive association of smoking cessation with low caffeine consumption in pregnancy, many years in school, no exposure to passive smoking outside the home, and previous attempts...

  5. Multimodal intervention raises smoking cessation rate during pregnancy

    DEFF Research Database (Denmark)

    Hegaard, Hanne K; Kjaergaard, Hanne; Møller, Lars F

    2003-01-01

    .003). The adjusted odds ratio (OR) for smoking cessation was 4.20 (95% CI 2.13-8.03). Logistic regression analysis showed a significant positive association of smoking cessation with low caffeine consumption in pregnancy, many years in school, no exposure to passive smoking outside the home, and previous attempts...

  6. Exploring pig raising in Bangladesh: implications for public health interventions

    Directory of Open Access Journals (Sweden)

    Stephen P. Luby

    2013-03-01

    Full Text Available Pigs are intermediate hosts and potential reservoirs of a number of pathogens that can infect humans. The objectives of this manuscript are to understand pig raising patterns in Bangladesh, interactions between pigs and humans, social stigma and discrimination that pig raisers experience and to explore the implications of these findings for public health interventions. The study team conducted an exploratory qualitative study by interviewing backyard pig raisers and nomadic herders (n = 34, observing daily interactions between pigs and humans (n = 18 and drawing seasonal diagrams (n = 6 with herders to understand the reasons for movement of nomadic herds. Pig raisers had regular close interaction with pigs. They often touched, caressed and fed their pigs which exposed them to pigs' saliva and feces. Herders took their pigs close to human settlements for scavenging. Other domestic animals and poultry shared food and sleeping and scavenging places with pigs. Since pigs are taboo in Islam, a majority of Muslims rejected pig raising and stigmatized pig raisers. This study identified several potential ways for pigs to transmit infectious agents to humans in Bangladesh. Poverty and stigmatization of pig raisers make it difficult to implement health interventions to reduce the risk of such transmissions. Interventions that offer social support to reduce stigma and highlight economic benefits of disease control might interest of pig raisers in accepting interventions targeting pig borne zoonoses.

  7. Exploring pig raising in Bangladesh: implications for public health interventions.

    Science.gov (United States)

    Nahar, Nazmun; Uddin, Main; Sarkar, Rouha Anamika; Gurley, Emily S; Uddin Khan, M Salah; Hossain, M Jahangir; Sultana, Rebeca; Luby, Stephen P

    2013-01-01

    Pigs are intermediate hosts and potential reservoirs of a number of pathogens that can infect humans. The objectives of this manuscript are to understand pig raising patterns in Bangladesh, interactions between pigs and humans, social stigma and discrimination that pig raisers experience and to explore the implications of these findings for public health interventions. The study team conducted an exploratory qualitative study by interviewing backyard pig raisers and nomadic herders (n=34), observing daily interactions between pigs and humans (n=18) and drawing seasonal diagrams (n=6) with herders to understand the reasons for movement of nomadic herds. Pig raisers had regular close interaction with pigs. They often touched, caressed and fed their pigs which exposed them to pigs' saliva and feces. Herders took their pigs close to human settlements for scavenging. Other domestic animals and poultry shared food and sleeping and scavenging places with pigs. Since pigs are taboo in Islam, a majority of Muslims rejected pig raising and stigmatized pig raisers. This study identified several potential ways for pigs to transmit infectious agents to humans in Bangladesh. Poverty and stigmatization of pig raisers make it difficult to implement health interventions to reduce the risk of such transmissions. Interventions that offer social support to reduce stigma and highlight economic benefits of disease control might interest of pig raisers in accepting interventions targeting pig borne zoonoses.

  8. Multimodality imaging to guide cardiac interventional procedures

    NARCIS (Netherlands)

    Tops, Laurens Franciscus

    2010-01-01

    In recent years, a number of new cardiac interventional procedures have been introduced. Catheter ablation procedures for atrial fibrillation (AF) have been refined and are now considered a good treatment option in patients with drug-refractory AF. In cardiac pacing, cardiac resynchronization therap

  9. Multimodality imaging to guide cardiac interventional procedures

    NARCIS (Netherlands)

    Tops, Laurens Franciscus

    2010-01-01

    In recent years, a number of new cardiac interventional procedures have been introduced. Catheter ablation procedures for atrial fibrillation (AF) have been refined and are now considered a good treatment option in patients with drug-refractory AF. In cardiac pacing, cardiac resynchronization

  10. Pilot study of a multimodal intervention

    DEFF Research Database (Denmark)

    Jarden, Mary Ellen; Hovgaard, Doris; Boesen, Ellen

    2007-01-01

    Substantial physical and functional deconditioning and diminished psychological wellbeing are all potential adverse effects of allogeneic stem cell transplantation (allo-HSCT). The aim of this study was to evaluate the feasibility, safety and benefits (physical and functional capacity) of a 4......-6 week supervised and structured mixed-type exercise, progressive relaxation and psychoeducation programme in patients undergoing allo-HSCT. Nineteen patients were randomized to an intervention or a conventional care group (CC) and were tested for physical and functional capacity before admission...

  11. Multi-modal intervention improved oral intake in hospitalized patients

    DEFF Research Database (Denmark)

    Holst, M; Beermann, T; Mortensen, M N

    2015-01-01

    : A 12-months observational multi-modal intervention study was done, using the top-down and bottom-up principle. All hospitalized patients (>3 days) were included. Setting: A university hospital with 758 beds and all specialities. Measurements: Record audit of GNP, energy- and protein-intake by 24-h......BACKGROUND: Good nutritional practice (GNP) includes screening, nutrition plan and monitoring, and is mandatory for targeted treatment of malnourished patients in hospital. AIMS: To optimize energy- and protein-intake in patients at nutritional risk and to improve GNP in a hospital setting. METHODS...

  12. Interventions for raising breast cancer awareness in women.

    Science.gov (United States)

    O'Mahony, Máirín; Comber, Harry; Fitzgerald, Tony; Corrigan, Mark A; Fitzgerald, Eileen; Grunfeld, Elizabeth A; Flynn, Maura G; Hegarty, Josephine

    2017-02-10

    Breast cancer continues to be the most commonly diagnosed cancer in women globally. Early detection, diagnosis and treatment of breast cancer are key to better outcomes. Since many women will discover a breast cancer symptom themselves, it is important that they are breast cancer aware i.e. have the knowledge, skills and confidence to detect breast changes and present promptly to a healthcare professional. To assess the effectiveness of interventions for raising breast cancer awareness in women. We searched the Cochrane Breast Cancer Group's Specialised Register (searched 25 January 2016), Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 12) in the Cochrane Library (searched 27 January 2016), MEDLINE OvidSP (2008 to 27 January 2016), Embase (Embase.com, 2008 to 27 January 2016), the World Health Organization's International Clinical Trials Registry Platform (ICTRP) search portal and ClinicalTrials.gov (searched 27 Feburary 2016). We also searched the reference lists of identified articles and reviews and the grey literature for conference proceedings and published abstracts. No language restriction was applied. Randomised controlled trials (RCTs) focusing on interventions for raising women's breast cancer awareness i.e. knowledge of potential breast cancer symptoms/changes and the confidence to look at and feel their breasts, using any means of delivery, i.e. one-to-one/group/mass media campaign(s). Two authors selected studies, independently extracted data and assessed risk of bias. We reported the odds ratio (OR) and 95% confidence intervals (CIs) for dichotomous outcomes and mean difference (MD) and standard deviation (SD) for continuous outcomes. Since it was not possible to combine data from included studies due to their heterogeneity, we present a narrative synthesis. We assessed the quality of evidence using GRADE methods. We included two RCTs involving 997 women: one RCT (867 women) randomised women to receive either a written booklet

  13. Children Seem to Know Raising: Raising and Intervention in Child Language

    Science.gov (United States)

    Choe, Jinsun

    2012-01-01

    English-speaking children exhibit difficulty in their comprehension of raising patterns, such as (1), in which the NP the boy is semantically linked to the VP in the embedded clause, but is syntactically realized as the subject of the matrix clause. (1) Raising pattern: [s "The boy" seems to the girl [s _ to be happy

  14. A Multimodal Intervention Improves Postanesthesia Care Unit Handovers.

    Science.gov (United States)

    Weinger, Matthew B; Slagle, Jason M; Kuntz, Audrey H; Schildcrout, Jonathan S; Banerjee, Arna; Mercaldo, Nathaniel D; Bills, James L; Wallston, Kenneth A; Speroff, Theodore; Patterson, Emily S; France, Daniel J

    2015-10-01

    Failures of communication are a major contributor to perioperative adverse events. Transitions of care may be particularly vulnerable. We sought to improve postoperative handovers. We introduced a multimodal intervention in an adult and a pediatric postanesthesia care unit (PACU) to improve postoperative handovers between anesthesia providers (APs) and PACU registered nurses (RNs). The intervention included a standardized electronic handover report form, a didactic webinar, mandatory simulation training focused on improving interprofessional communication, and post-training performance feedback. Trained, blinded nurse observers scored PACU handovers during 17 months using a structured tool consisting of 8 subscales and a global score (1-5 scale). Multivariate logistic regression assessed the effect of the intervention on the proportion of observed handovers receiving a global effectiveness rating of ≥3. Four hundred fifty-two clinicians received the simulation-based training, and 981 handovers were observed and rated. In the adult PACU, the estimated percentages of acceptable handovers (global ratings ≥3) among AP-RN pairs, where neither received simulation-based training (untrained dyads), was 3% (95% confidence interval, 1%-11%) at day 0, 10% (5%-19%) at training initiation (day 40), and 57% (33%-78%) at 1-year post-training initiation (day 405). For AP-RN pairs where at least one received the simulation-based training (trained dyads), these percentages were estimated to be 18% (11%-28%) and 68% (57%-76%) on days 40 and 405, respectively. The percentage of acceptable handovers was significantly greater on day 405 than it was on day 40 for both untrained (P 3 years later.

  15. Safeguarding the User - Developing a Multimodal Design for Surveying and Raising Internet Safety and Security Awareness

    DEFF Research Database (Denmark)

    Gjedde, Lisa; Sharp, Robin; Andersen, Preben

    2009-01-01

    Internet safety and security for the user is an issue of great importance for the successful implementation of ICT, but since it is a complex field, with a specialist vocabulary that cannot immediately be understood by the common user, it is difficult to survey the field. The user may not underst......Internet safety and security for the user is an issue of great importance for the successful implementation of ICT, but since it is a complex field, with a specialist vocabulary that cannot immediately be understood by the common user, it is difficult to survey the field. The user may...... describes an ICT-based research method that combines a verbal mode of inquiry with a visual mode employing illustrations, animations and simulations to provide the user with a multimodal media experience. The rationale for this is that we are working in a complex technical field with a specialist vocabulary...

  16. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    2010-01-01

    In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal' communication, which should not be confused with the term ‘multimedia'. While multimedia...... on their teaching and learning situations. The choices they make involve e-learning resources like videos, social platforms and mobile devices, not just as digital artefacts we interact with, but the entire practice of using digital media. In a life-long learning perspective, multimodality is potentially very...... represent the use of various media for communication, multimodality refers to the different symbol systems we employ in communication practices. As new educational practices emerge from the application of ICT, multimodality becomes a matter for all teachers when they plan, practice and reflect...

  17. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    2010-01-01

    on their teaching and learning situations. The choices they make involve e-learning resources like videos, social platforms and mobile devices, not just as digital artefacts we interact with, but the entire practice of using digital media. In a life-long learning perspective, multimodality is potentially very...... represent the use of various media for communication, multimodality refers to the different symbol systems we employ in communication practices. As new educational practices emerge from the application of ICT, multimodality becomes a matter for all teachers when they plan, practice and reflect......In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal' communication, which should not be confused with the term ‘multimedia'. While multimedia...

  18. Children with Developmental Verbal Dyspraxia: Changes in Articulation and Perceived Resilience with Intensive Multimodal Intervention

    Science.gov (United States)

    Martin, Maureen K; Wright, Lindsay Elizabeth; Perry, Susan; Cornett, Daphne; Schraeder, Missy; Johnson, James T.

    2016-01-01

    Research into intervention strategies for developmental verbal dyspraxia (DVD) clearly demonstrates the need to identify effective interventions. The goals of this study were to examine changes in articulation skills following the use of phonetic, multimodal intervention and to consider the relationship between these improved articulation skills…

  19. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal’ communication, which should not be confused with the term ‘multimedia’. While multimedia...... and learning situations. The choices they make involve E-learning resources like videos, social platforms and mobile devices, not just as digital artefacts we interact with, but the entire practice of using digital media. In a life-long learning perspective, multimodality is potentially very useful...... represent the use of various media for communication, multimodality refers to the different symbol systems we employ in communication practices. As new educational practices emerge from the application of ICT, all teachers address multimodality when they plan, practice and reflect on their teaching...

  20. Multimodality

    DEFF Research Database (Denmark)

    Buhl, Mie

    and learning situations. The choices they make involve E-learning resources like videos, social platforms and mobile devices, not just as digital artefacts we interact with, but the entire practice of using digital media. In a life-long learning perspective, multimodality is potentially very useful...... represent the use of various media for communication, multimodality refers to the different symbol systems we employ in communication practices. As new educational practices emerge from the application of ICT, all teachers address multimodality when they plan, practice and reflect on their teaching......In this paper, I address an ongoing discussion in Danish E-learning research about how to take advantage of the fact that digital media facilitate other communication forms than text, so-called ‘multimodal’ communication, which should not be confused with the term ‘multimedia’. While multimedia...

  1. A community intervention trial of multimodal suicide prevention program in Japan: A Novel multimodal Community Intervention program to prevent suicide and suicide attempt in Japan, NOCOMIT-J

    Directory of Open Access Journals (Sweden)

    Suzuki Yuriko

    2008-09-01

    Full Text Available Abstract Background To respond to the rapid surge in the incidence of suicide in Japan, which appears to be an ongoing trend, the Japanese Multimodal Intervention Trials for Suicide Prevention (J-MISP have launched a multimodal community-based suicide prevention program, NOCOMIT-J. The primary aim of this study is to examine whether NOCOMIT-J is effective in reducing suicidal behavior in the community. Methods/DesignThis study is a community intervention trial involving seven intervention regions with accompanying control regions, all with populations of statistically sufficient size. The program focuses on building social support networks in the public health system for suicide prevention and mental health promotion, intending to reinforce human relationships in the community. The intervention program components includes a primary prevention measures of awareness campaign for the public and key personnel, secondary prevention measures for screening of, and assisting, high-risk individuals, after-care for individuals bereaved by suicide, and other measures. The intervention started in July 2006, and will continue for 3.5 years. Participants are Japanese and foreign residents living in the intervention and control regions (a total of population of 2,120,000 individuals. Discussion The present study is designed to evaluate the effectiveness of the community-based suicide prevention program in the seven participating areas. Trial registration UMIN Clinical Trials Registry (UMIN-CTR UMIN000000460.

  2. Randomized Controlled Trial: Multimodal Anxiety and Social Skill Intervention for Adolescents with Autism Spectrum Disorder

    Science.gov (United States)

    White, Susan W.; Ollendick, Thomas; Albano, Anne Marie; Oswald, Donald; Johnson, Cynthia; Southam-Gerow, Michael A.; Kim, Inyoung; Scahill, Lawrence

    2013-01-01

    Anxiety is common among adolescents with autism spectrum disorders (ASD) and may amplify the core social disability, thus necessitating combined treatment approaches. This pilot, randomized controlled trial evaluated the feasibility and preliminary outcomes of the Multimodal Anxiety and Social Skills Intervention (MASSI) program in a sample of 30…

  3. Effect of a Multimodal High Intensity Exercise Intervention in Cancer Patients Undergoing Chemotherapy

    DEFF Research Database (Denmark)

    Adamsen, Lis; Quist, Morten; Andersen, Christina

    2009-01-01

    Abstract: Objective To assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with cancer who were undergoing adjuvant chemotherapy or treatment.......4 to 34.9, Peffect was seen on global health status/quality of life. Conclusion: A supervised multimodal exercise intervention including high and low intensity components was feasible and could safely be used in patients with various cancers who were receiving adjuvant...... for advanced disease. Design: Randomised controlled trial. Setting: Two university hospitals in Copenhagen, Denmark. Participants: 269 patients with cancer; 73 men, 196 women, mean age 47 years (range 20-65) representing 21 diagnoses. Main exclusion criteria were brain or bone metastases. 235 patients...

  4. A Multimodal, Nonpharmacologic Intervention Improves Mood and Cognitive Function in People with Multiple Sclerosis.

    Science.gov (United States)

    Lee, Jennifer E; Bisht, Babita; Hall, Michael J; Rubenstein, Linda M; Louison, Rebecca; Klein, Danielle T; Wahls, Terry L

    2017-01-01

    The objective of this study was to examine whether participation in a 12-month multimodal intervention would improve mood and cognitive function in adults with progressive multiple sclerosis (MS). In this one-arm, open-label feasibility trial, participants were prescribed a home-based multimodal intervention, including (1) a modified Paleolithic diet; (2) an exercise program (stretching and strengthening of the trunk and lower limb muscles); (3) neuromuscular electrical stimulation (EStim) of trunk and lower limb muscles; and (4) stress management (meditation and self-massage). Individuals completed measures of mood (Beck Anxiety and Depression Inventories) and cognitive (Cognitive Stability Index, Cognitive Screening Test, Delis-Kaplan Executive Function System) and executive function (Wechsler Adult Intelligence Scale) at baseline and 3, 6, 9, and 12 months after the start of the intervention. Dosage of the multimodal intervention was assessed at 3, 6, 9, and 12 months. The more individuals participated in the intervention activities, the greater improvements they had from baseline to 12 months on self-report measures of anxiety (Beck Anxiety Inventory [BAI]; ps = 0.001 to 0.02), depression (Beck Depression Inventory [BDI]; ps = Paleolithic diet than to exercise and stress management dosage. Anxiety and depression changes were evident after just a few months, whereas changes in cognitive function were generally not observed until later in the intervention period. Mood and cognitive function changes from baseline to 12 months were significantly associated with fatigue improvements (ps = Paleolithic diet, exercise, EStim, and stress management intervention like this one has the potential to improve the mood and cognitive symptoms that can lead to considerable suffering in people with MS, potentially improving quality of life and function for people with progressive MS.

  5. Coronary plaque morphology on multi-modality imagining and periprocedural myocardial infarction after percutaneous coronary intervention

    Directory of Open Access Journals (Sweden)

    Akira Sato

    2016-06-01

    Full Text Available Percutaneous coronary intervention (PCI may be complicated by periprocedural myocardial infarction (PMI as manifested by elevated cardiac biomarkers such as creatine kinase (CK-MB or troponin T. The occurrence of PMI has been shown to be associated with worse short- and long-term clinical outcome. However, recent studies suggest that PMI defined by biomarker levels alone is a marker of atherosclerosis burden and procedural complexity but in most cases does not have independent prognostic significance. Diagnostic multi-modality imaging such as intravascular ultrasound, optical coherence tomography, coronary angioscopy, near-infrared spectroscopy, multidetector computed tomography, and magnetic resonance imaging can be used to closely investigate the atherosclerotic lesion in order to detect morphological markers of unstable and vulnerable plaques in the patients undergoing PCI. With the improvement of technical aspects of multimodality coronary imaging, clinical practice and research are increasingly shifting toward defining the clinical implication of plaque morphology and patients outcomes. There were numerous published data regarding the relationship between pre-PCI lesion subsets on multi-modality imaging and post-PCI biomarker levels. In this review, we discuss the relationship between coronary plaque morphology estimated by invasive or noninvasive coronary imaging and the occurrence of PMI. Furthermore, this review underlies that the value of the multimodality coronary imaging approach will become the gold standard for invasive or noninvasive prediction of PMI in clinical practice.

  6. A Multimodal Intervention for Patients with Secondary Progressive Multiple Sclerosis: Feasibility and Effect on Fatigue

    Science.gov (United States)

    Bisht, Babita; Darling, Warren G.; Grossmann, Ruth E.; Shivapour, E. Torage; Lutgendorf, Susan K.; Snetselaar, Linda G.; Hall, Michael J.; Zimmerman, M. Bridget

    2014-01-01

    Abstract Background: Multiple sclerosis is an autoimmune disease influenced by environmental factors. Objectives: The feasibility of a multimodal intervention and its effect on perceived fatigue in patients with secondary progressive multiple sclerosis were assessed. Design/setting: This was a single-arm, open-label intervention study in an outpatient setting. Interventions: A multimodal intervention including a modified paleolithic diet with supplements, stretching, strengthening exercises with electrical stimulation of trunk and lower limb muscles, meditation, and massage was used. Outcome measures: Adherence to each component of the intervention was calculated using daily logs. Side-effects were assessed from a monthly questionnaire and blood analyses. Fatigue was assessed using the Fatigue Severity Scale (FSS). Data were collected at baseline and months 1, 2, 3, 6, 9, and 12. Results: Ten (10) of 13 subjects who were enrolled in a 2-week run-in phase were eligible to continue in the 12-month main study. Of those 10 subjects, 8 completed the study and 6 subjects fully adhered to the study intervention for 12 months. Over a 12-month period, average adherence to diet exceeded 90% of days, and to exercise/muscle stimulation exceeded 75% of days. Nutritional supplements intake varied among and within subjects. Group daily average duration of meditation was 13.3 minutes and of massage was 7.2 minutes. No adverse side-effects were reported. Group average FSS scores decreased from 5.7 at baseline to 3.32 (p=0.0008) at 12 months. Conclusions: In this small, uncontrolled pilot study, there was a significant improvement in fatigue in those who completed the study. Given the small sample size and completer rate, further evaluation of this multimodal therapy is warranted. PMID:24476345

  7. Educational interventions to raise men's awareness of bladder and bowel health.

    Science.gov (United States)

    2013-03-01

    Urinary incontinence is a common health problem that carries with it a significant burden. Nearly twice as many men suffer from this problem than women, and studies have demonstrated that help-seeking behavior is more challenging for men. This information sheet is based on a systematic review and focuses on the best-available evidence regarding educational interventions to raise men's awareness of bladder and bowel health. It also provides recommendations for practice.

  8. Multimodal secondary prevention behavioral interventions for TIA and stroke: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Maggie Lawrence

    Full Text Available Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke. We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions.Searches were conducted in 14 databases, including MEDLINE (1980-January 2014. We included randomized controlled trials (RCTs testing multimodal interventions against usual care/modified usual care. All review processes were conducted in accordance with Cochrane guidelines.Twenty-three papers reporting 20 RCTs (6,373 participants of a range of multimodal behavioral interventions were included. Methodological quality was generally low. Meta-analyses were possible for physiological, lifestyle, psychosocial and mortality/recurrence outcomes. Note: all reported confidence intervals are 95%. Systolic blood pressure was reduced by 4.21 mmHg (mean (-6.24 to -2.18, P = 0.01 I2 = 58%, 1,407 participants; diastolic blood pressure by 2.03 mmHg (mean (-3.19 to -0.87, P = 0.004, I2 = 52%, 1,407 participants. No significant changes were found for HDL, LDL, total cholesterol, fasting blood glucose, high sensitivity-CR, BMI, weight or waist:hip ratio, although there was a significant reduction in waist circumference (-6.69 cm, -11.44 to -1.93, P = 0.006, I2 = 0%, 96 participants. There was no significant difference in smoking continuance, or improved fruit and vegetable consumption. There was a significant difference in compliance with antithrombotic medication (OR 1.45, 1.21 to 1.75, P<0.0001, I2 = 0%, 2,792 participants and with statins (OR 2.53, 2.15 to 2.97, P< 0.00001, I2 = 0%, 2,636 participants; however, there was no significant difference in compliance with antihypertensives. There was a significant reduction in anxiety (-1.20, -1.77 to -0.63, P<0.0001, I2 = 85%, 143 participants. Although there was no significant difference in odds of death or recurrent TIA/stroke, there was a significant reduction in the odds of cardiac events (OR 0.38, 0

  9. Effectiveness of a Multimodal Intervention Program for Restraint Prevention in an Acute Spanish Psychiatric Ward.

    Science.gov (United States)

    Guzman-Parra, Jose; Aguilera Serrano, Carlos; García-Sánchez, Juan A; Pino-Benítez, Isabel; Alba-Vallejo, Mercedes; Moreno-Küstner, Berta; Mayoral-Cleries, Fermin

    2016-05-01

    International recommendations have called to implement strategies to reduce the use of coercion in psychiatric settings. However, in Spain there is a lack of research about intervention programs to reduce mechanical restraint in acute psychiatric units. The aim of this study was to evaluate the effectiveness of a multimodal intervention program based on the principles of six core strategies to reduce the frequency of use of mechanical restraint in an acute psychiatric ward. The design was a retrospective analysis of the frequency and duration of episodes of mechanical restraint prior to the intervention program (2012) and during the intervention program (2013) in one acute psychiatric ward. The intervention was governed by four strategies: (1) leadership and organizational changes, (2) registration and monitoring of risk patients, (3) staff training, and (4) involving patients in the treatment program. There was a significant difference between the mean number of monthly episodes of mechanical restraint per 1,000 patient days, pre-intervention (18.54 ± 8.78) compared with postintervention (8.53 ± 7.00; p = .005). We found the probability that mechanical restraint would occur in a hospital admission decreased after performing the intervention (odds ratio = .587; confidence interval = 0.411-0.838; p = .003) after adjusting for confounding variables. The total percentage of restrained patients fell from 15.07% to 9.74%. The main implication of the study is to support the effectiveness of specific intervention programs based on different measures to reduce mechanical restraint and without contemplating all the strategies that are considered effective. © The Author(s) 2016.

  10. Randomized Controlled Trial: Multimodal Anxiety and Social Skill Intervention for Adolescents with Autism Spectrum Disorder

    Science.gov (United States)

    White, Susan W.; Ollendick, Thomas; Albano, Anne Marie; Oswald, Donald; Johnson, Cynthia; Southam-Gerow, Michael A.; Kim, Inyoung; Scahill, Lawrence

    2012-01-01

    Anxiety is common among adolescents with autism spectrum disorders (ASD) and may amplify the core social disability, thus necessitating combined treatment approaches. This pilot, randomized controlled trial (RCT) evaluated the feasibility and preliminary outcomes of the Multimodal Anxiety and Social Skills Intervention (MASSI) program in a sample of 30 adolescents with ASD and anxiety symptoms of moderate or greater severity. The treatment was acceptable to families, subject adherence was high, and therapist fidelity was high. A 16% improvement in ASD social impairment (within-group effect size = 1.18) was observed on a parent-reported scale. Although anxiety symptoms declined by 26%, the change was not statistically significant. These findings suggest MASSI is a feasible treatment program and further evaluation is warranted. PMID:22735897

  11. Effect of a multi-modal intervention on immunization rates in obstetrics and gynecology clinics.

    Science.gov (United States)

    Mazzoni, Sara E; Brewer, Sarah E; Pyrzanowski, Jennifer L; Durfee, M Josh; Dickinson, L Miriam; Barnard, Juliana G; Dempsey, Amanda F; O'Leary, Sean T

    2016-05-01

    There is increasing attention on immunizations by obstetrician-gynecologists and a need to improve vaccination rates for all women. To evaluate the effect of a multimodal intervention on rates of immunization with tetanus, diphtheria, and acellular pertussis (Tdap); human papillomavirus (HPV); and influenza in outpatient obstetrics and gynecology clinics. Immunization rates at 2 clinics were compared pre- and post-implementation of multiple interventions at a public integrated health-care system. Study interventions began on June 6, 2012 and concluded on May 31, 2014; the preimplementation time period used was June 6, 2010 to June 5, 2012. Interventions included stocking of immunizations in clinics, revision and expansion of standing orders, creation of a reminder/recall program, identification of an immunization champion to give direct provider feedback, expansion of a payment assistance program, and staff education. All women aged 15 and older who made a clinic visit during influenza season were included in the influenza cohort; women who delivered an infant during the study time period and had at least 1 prenatal visit within 9 months preceding delivery were included in the Tdap cohort; each clinic visit by a nonpregnant woman aged 15-26 years was assessed and included in the HPV analysis as an eligible visit if the patient was lacking any of the 3 HPV vaccines in the series. The primary outcome was receipt of influenza and Tdap vaccine per current American College of Obstetricians and Gynecologists guidelines and receipt of HPV vaccine during eligible visits. Influenza and Tdap were assessed with overall coverage rates at the institutional level, and HPV was assessed at the visit level by captured opportunities. All analyses included generalized estimating equations and the primary outcome was assessed with time as a covariate in all models. A total of 19,409 observations were included in the influenza cohort (10,231 pre- and 9178 post-intervention), 2741 in

  12. A 10-Week Multimodal Nutrition Education Intervention Improves Dietary Intake among University Students: Cluster Randomised Controlled Trial

    Directory of Open Access Journals (Sweden)

    Mohd Razif Shahril

    2013-01-01

    Full Text Available The aim of the study was to evaluate the effectiveness of implementing multimodal nutrition education intervention (NEI to improve dietary intake among university students. The design of study used was cluster randomised controlled design at four public universities in East Coast of Malaysia. A total of 417 university students participated in the study. They were randomly selected and assigned into two arms, that is, intervention group (IG or control group (CG according to their cluster. The IG received 10-week multimodal intervention using three modes (conventional lecture, brochures, and text messages while CG did not receive any intervention. Dietary intake was assessed before and after intervention and outcomes reported as nutrient intakes as well as average daily servings of food intake. Analysis of covariance (ANCOVA and adjusted effect size were used to determine difference in dietary changes between groups and time. Results showed that, compared to CG, participants in IG significantly improved their dietary intake by increasing their energy intake, carbohydrate, calcium, vitamin C and thiamine, fruits and 100% fruit juice, fish, egg, milk, and dairy products while at the same time significantly decreased their processed food intake. In conclusion, multimodal NEI focusing on healthy eating promotion is an effective approach to improve dietary intakes among university students.

  13. The effects of a six-week supervised multimodal exercise intervention during chemotherapy on cancer-related fatigue

    DEFF Research Database (Denmark)

    Andersen, Christina; Rørth, Mikael; Ejlertsen, Bent

    2013-01-01

    Cancer related fatigue (CRF) is a common problem for cancer patients across diagnoses during chemotherapy and is associated with physical inactivity, lower functional level and lack of energy. Few RCT exercise intervention studies have included cancer patients undergoing chemotherapy. The objecti...... of this study is to evaluate whether a six-week supervised multimodal exercise intervention, adjunct to chemotherapy and standard care, can reduce the patient's CRF level.......Cancer related fatigue (CRF) is a common problem for cancer patients across diagnoses during chemotherapy and is associated with physical inactivity, lower functional level and lack of energy. Few RCT exercise intervention studies have included cancer patients undergoing chemotherapy. The objective...

  14. Serious gaming used as management intervention to prevent work-related stress and raise work-engagement among workers

    NARCIS (Netherlands)

    Wiezer, N.; Bakhuys Roozeboom, M.; Oprins, E.

    2013-01-01

    Work-related stress is a large occupational risks in the Netherlands but interventions to reduce this risk are not implemented in organizations. The characteristics of a serious game make it a useful training tool for managers to raise awareness on their role in stimulating work engagement and manag

  15. Serious gaming used as management intervention to prevent work-related stress and raise work-engagement among workers

    NARCIS (Netherlands)

    Wiezer, N.; Bakhuys Roozeboom, M.; Oprins, E.

    2013-01-01

    Work-related stress is a large occupational risks in the Netherlands but interventions to reduce this risk are not implemented in organizations. The characteristics of a serious game make it a useful training tool for managers to raise awareness on their role in stimulating work engagement and manag

  16. Serious gaming used as management intervention to prevent work-related stress and raise work-engagement among workers

    NARCIS (Netherlands)

    Wiezer, N.; Bakhuys Roozeboom, M.; Oprins, E.

    2013-01-01

    Work-related stress is a large occupational risks in the Netherlands but interventions to reduce this risk are not implemented in organizations. The characteristics of a serious game make it a useful training tool for managers to raise awareness on their role in stimulating work engagement and

  17. Multimodal intervention in older adults improves resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe.

    Science.gov (United States)

    Li, Rui; Zhu, Xinyi; Yin, Shufei; Niu, Yanan; Zheng, Zhiwei; Huang, Xin; Wang, Baoxi; Li, Juan

    2014-01-01

    The prefrontal cortex and medial temporal lobe are particularly vulnerable to the effects of aging. The disconnection between them is suggested to be an important cause of cognitive decline in normal aging. Here, using multimodal intervention training, we investigated the functional plasticity in resting-state connectivity of these two regions in older adults. The multimodal intervention, comprised of cognitive training, Tai Chi exercise, and group counseling, was conducted to explore the regional connectivity changes in the default-mode network, as well as changes in prefrontal-based voxel-wise connectivity in the whole brain. Results showed that the intervention selectively affected resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe. Moreover, the strength of resting-state functional connectivity between these regions correlated with individual cognitive performance. Our results suggest that multimodal intervention could postpone the effects of aging and improve the function of the regions that are most heavily influenced by aging, as well as play an important role in preserving the brain and cognition during old age.

  18. Multimodal intervention in older adults improves resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe

    Directory of Open Access Journals (Sweden)

    Rui eLi

    2014-03-01

    Full Text Available The prefrontal cortex and medial temporal lobe are particularly vulnerable to the effects of aging. The disconnection between them is suggested to be an important cause of cognitive decline in normal aging. Here, using multimodal intervention training, we investigated the functional plasticity in resting-state connectivity of these two regions in older adults. The multimodal intervention, comprised of cognitive training, Tai Chi exercise, and group counseling, was conducted to explore the regional connectivity changes in the default-mode network, as well as changes in prefrontal-based voxel-wise connectivity in the whole brain. Results showed that the intervention selectively affected resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe. Moreover, the strength of resting-state functional connectivity between these regions correlated with individual cognitive performance. Our results suggest that multimodal intervention could postpone the effects of aging and improve the function of the regions that are most heavily influenced by aging, as well as play an important role in preserving the brain and cognition during old age.Clinical Trial Registration: This trial was registered in the Chinese Clinical Trial Registry (ChiCTR (http://www.chictr.org: ChiCTR-PNRC-13003813.

  19. Assessment of a multi-modal intervention for the prevention of catheter-associated urinary tract infections.

    Science.gov (United States)

    Ternavasio-de la Vega, H G; Barbosa Ventura, A; Castaño-Romero, F; Sauchelli, F D; Prolo Acosta, A; Rodríguez Alcázar, F J; Vicente Sánchez, A; Ruiz Antúnez, E; Marcos, M; Laso, J

    2016-10-01

    Catheter-associated urinary tract infections (CAUTIs) represent an important healthcare burden. To assess the effectiveness of an evidence-based multi-modal, multi-disciplinary intervention intended to improve outcomes by reducing the use of urinary catheters (UCs) and minimizing the incidence of CAUTIs in the internal medicine department of a university hospital. A multi-modal intervention was developed, including training sessions, urinary catheterization reminders, surveillance systems, and mechanisms for staff feedback of results. The frequency of UC use and incidence of CAUTIs were recorded in three-month periods before (P1) and during the intervention (P2). The catheterization rate decreased significantly during P2 [27.8% vs 16.9%; relative risk (RR): 0.61; 95% confidence interval (CI): 0.57-0.65]. We also observed a reduction in CAUTI risk (18.3 vs 9.8%; RR: 0.53; 95% CI: 0.30-0.93), a reduction in the CAUTI rate per 1000 patient-days [5.5 vs 2.8; incidence ratio (IR): 0.52; 95% CI: 0.28-0.94], and a non-significant decrease in the CAUTI rate per 1000 catheter-days (19.3 vs 16.9; IR: 0.85; 95% CI: 0.46-1.55). The multi-modal intervention was effective in reducing the catheterization rate and the frequency of CAUTIs. Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  20. Effect of a multimodal high intensity exercise intervention in cancer patients undergoing chemotherapy: randomised controlled trial

    DEFF Research Database (Denmark)

    Adamsen, Lis; Quist, Morten; Andersen, Christina

    2009-01-01

    OBJECTIVE: To assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with cancer who were undergoing adjuvant chemotherapy or treatment for advanced...... outcome, fatigue, of -6.6 points (95% confidence interval -12.3 to -0.9, P=0.02; effect size=0.33, 0.04 to 0.61). Significant effects were seen on vitality (effect size 0.55, 95% CI 0.27 to 0.82), physical functioning (0.37, 0.09 to 0.65), role physical (0.37, 0.10 to 0.64), role emotional (0.32, 0.......05 to 0.59), and mental health (0.28, 0.02 to 0.56) scores. Improvement was noted in physical capacity: estimated mean difference between groups for maximum oxygen consumption was 0.16 l/min (95% CI 0.1 to 0.2, P

  1. Effect of a Multimodal High Intensity Exercise Intervention in Cancer Patients Undergoing Chemotherapy

    DEFF Research Database (Denmark)

    Adamsen, Lis; Quist, Morten; Andersen, Christina

    2009-01-01

    Abstract: Objective To assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with cancer who were undergoing adjuvant chemotherapy or treatment...... at six weeks for the primary outcome, fatigue, of −6.6 points (95% confidence interval −12.3 to −0.9, P=0.02; effect size=0.33, 0.04 to 0.61). Significant effects were seen on vitality (effect size 0.55, 95% CI 0.27 to 0.82), physical functioning (0.37, 0.09 to 0.65), role physical (0.37, 0.10 to 0.......64), role emotional (0.32, 0.05 to 0.59), and mental health (0.28, 0.02 to 0.56) scores. Improvement was noted in physical capacity: estimated mean difference between groups for maximum oxygen consumption was 0.16 l/min (95% CI 0.1 to 0.2, P

  2. Effect of a multimodal high intensity exercise intervention in cancer patients undergoing chemotherapy

    DEFF Research Database (Denmark)

    Adamsen, Lis; Quist, Morten; Andersen, Christina

    2009-01-01

    OBJECTIVE: To assess the effect of a multimodal group exercise intervention, as an adjunct to conventional care, on fatigue, physical capacity, general wellbeing, physical activity, and quality of life in patients with cancer who were undergoing adjuvant chemotherapy or treatment for advanced...... outcome, fatigue, of -6.6 points (95% confidence interval -12.3 to -0.9, P=0.02; effect size=0.33, 0.04 to 0.61). Significant effects were seen on vitality (effect size 0.55, 95% CI 0.27 to 0.82), physical functioning (0.37, 0.09 to 0.65), role physical (0.37, 0.10 to 0.64), role emotional (0.32, 0.......05 to 0.59), and mental health (0.28, 0.02 to 0.56) scores. Improvement was noted in physical capacity: estimated mean difference between groups for maximum oxygen consumption was 0.16 l/min (95% CI 0.1 to 0.2, P

  3. Attachment style contributes to the outcome of a multimodal lifestyle intervention

    Directory of Open Access Journals (Sweden)

    Kiesewetter Sybille

    2012-02-01

    Full Text Available Abstract Background & Aims The long-term success of life-style interventions in the treatment of obesity is limited. Although psychological factors have been suggested to modify therapeutic effects, specifically the implications of attachment styles and the patient-therapist relationship have not been examined in detail yet. Methods This study included 44 obese patients who participated in a one-year multimodal weight-reduction program. Attachment style was analyzed by the Adult Attachment Prototype Rating (AAPR inventory and its relation to a one-year weight reduction program was studied. The patient-therapist-relationship was assessed using the Helping Alliance Questionnaire. Results Attachment style was secure in 68% of participants and insecure (preoccupied and dismissing in 32%. Interestingly a significantly higher weight-reduction was found in securely (SAI compared to insecurely attached individuals (UAI; p Conclusions The frequency of insecure attachment in obese individuals was comparable to that of the normal population. Our data suggest a greater weight-reduction for SAI than for UAI, and the patient-therapist relationship was rated more positively. The conclusion can be drawn that a patient's attachment style plays a role in an interdisciplinary treatment program for obesity and has an influence on the effort to lose weight.

  4. Attachment style contributes to the outcome of a multimodal lifestyle intervention.

    Science.gov (United States)

    Kiesewetter, Sybille; Köpsel, Andrea; Mai, Knut; Stroux, Andrea; Bobbert, Thomas; Spranger, Joachim; Köpp, Werner; Deter, Hans-Christian; Kallenbach-Dermutz, Bettina

    2012-02-02

    The long-term success of life-style interventions in the treatment of obesity is limited. Although psychological factors have been suggested to modify therapeutic effects, specifically the implications of attachment styles and the patient-therapist relationship have not been examined in detail yet. This study included 44 obese patients who participated in a one-year multimodal weight-reduction program. Attachment style was analyzed by the Adult Attachment Prototype Rating (AAPR) inventory and its relation to a one-year weight reduction program was studied. The patient-therapist-relationship was assessed using the Helping Alliance Questionnaire. Attachment style was secure in 68% of participants and insecure (preoccupied and dismissing) in 32%. Interestingly a significantly higher weight-reduction was found in securely (SAI) compared to insecurely attached individuals (UAI; p < 0.05). This estimation correlated positively also to the quality of helping alliance (p = 0.004). The frequency of insecure attachment in obese individuals was comparable to that of the normal population. Our data suggest a greater weight-reduction for SAI than for UAI, and the patient-therapist relationship was rated more positively. The conclusion can be drawn that a patient's attachment style plays a role in an interdisciplinary treatment program for obesity and has an influence on the effort to lose weight.

  5. A multimodal intervention to improve hand hygiene in ICUs in Buenos Aires, Argentina: a stepped wedge trial.

    Science.gov (United States)

    Rodriguez, Viviana; Giuffre, Carolina; Villa, Silvia; Almada, Griselda; Prasopa-Plaizier, Nittita; Gogna, Monica; Gibbons, Luz; García Elorrio, Ezequiel

    2015-10-01

    Hand hygiene is a cost-effective measure to reduce microbial transmission (Teare EL, Cookson B, French GL, et al. UK handwashing initiative. J Hosp Infect. 1999;43:1-3.) and is considered to be the most important measure to prevent healthcare-associated infections (Pittet D, Allegranzi B, Sax H, Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6:641-52). Unfortunately, the compliance rate of healthcare workers (HCWs) with recommended hand hygiene procedures is less than expected. In order to estimate the effect of a multimodal intervention on improving healthcare workers' compliance with hand hygiene in eleven intensive care units (ICUs) from 11 hospitals of Buenos Aires, a randomized cluster-stepped wedge trial was designed. A multimodal intervention was designed based on practices characterized by being evidence-based, low cost and suggested by qualitative research: (i) leadership commitment, (ii) surveillance of materials needed to comply with hand hygiene and alcohol consumption, (iii) utilization of reminders, (iv) a storyboard of the project and (v) feedback (hand hygiene compliance rate). The study enrolled 705 participants, comprising nurses (66.4%), physicians (25.8%) and other HCW (7.8%) along 9 months of observation. Compliance with hand hygiene in the control group was 66.0% (2354/3565) vs. 75.6% (5190/6864) in the intervention group. Univariate analysis showed an association between the intervention and hand hygiene compliance (odds ratio, OR 1.17; 95% confidence interval (CI), 1.13-1.22). The effect was still present after adjustment by calendar's time and providers' characteristics-age, gender and profession (OR 1.08; 95% CI, 1.03-1.14). His study supports that a multimodal intervention was effective to improve compliance with hand hygiene in ICUs. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care

  6. Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study.

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    Yutaka Ono

    Full Text Available BACKGROUND: Multilevel and multimodal interventions have been suggested for suicide prevention. However, few studies have reported the outcomes of such interventions for suicidal behaviours. METHODS: We examined the effectiveness of a community-based multimodal intervention for suicide prevention in rural areas with high suicide rates, compared with a parallel prevention-as-usual control group, covering a total of 631,133 persons. The effectiveness was also examined in highly populated areas near metropolitan cities (1,319,972 persons. The intervention started in July 2006, and continued for 3.5 years. The primary outcome was the incidence of composite outcome, consisting of completed suicides and suicide attempts requiring admission to an emergency ward for critical care. We compared the rate ratios (RRs of the outcomes adjusted by sex, age group, region, period and interaction terms. Analyses were performed on an intention-to-treat basis and stratified by sex and age groups. FINDINGS: In the rural areas, the overall median adherence of the intervention was significantly higher. The RR of the composite outcome in the intervention group decreased 7% compared with that of the control group. Subgroup analyses demonstrated heterogeneous effects among subpopulations: the RR of the composite outcome in the intervention group was significantly lower in males (RR = 0.77, 95% CI 0.59-0.998, p = 0.0485 and the RR of suicide attempts was significantly lower in males (RR = 0.39, 95% CI 0.22-0.68, p = 0.001 and the elderly (RR = 0.35, 95% CI 0.17-0.71, p = 0.004. The intervention had no effect on the RR of the composite outcome in the highly populated areas. INTERPRETATION: Our findings suggest that this community-based multimodal intervention for suicide prevention could be implemented in rural areas, but not in highly populated areas. The effectiveness of the intervention was shown for males and for the elderly in rural areas

  7. [Impact of a Multimodal Intervention on the Psychological Profile of Schizophrenic and Bipolar I Patients: A Study of PRISMA Program].

    Science.gov (United States)

    Díaz-Zuluaga, Ana María; Vargas, Cristian; Duica, Kelly; Richard, Shanel; Palacio, Juan David; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

    Bipolar Disorder (BD) and schizophrenia are included in the group of severe mental illness and are main causes of disability and morbidity in the local population due to the bio-psycho-social implications in patients. In the last 20 years or so, adjunctive psychological interventions been studied with the purpose of decreasing recurrences, stabilising the course of the disease, and improving the functionality in these patients. To analyse the psychological effect of a multimodal intervention (MI) vs a traditional intervention (TI) program in BD I and schizophrenic patients. A prospective, longitudinal, therapeutic-comparative study was conducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to the MI or TI groups of a multimodal intervention program PRISMA. The MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occupational therapy. The TI group received care from psychiatry and general medicine. The Hamilton and Young scales, and the Scales for the Assessment of Negative Symptoms (SANS) and Postive Symptoms (SAPS) were used on bipolar and schizophrenic patients, respectively. The scales AQ-12, TEMPS-A, FAST, Zuckerman sensation seeking scale, BIS-11, SAI-E and EEAG were applied to measure the psychological variables. The scales were performed before and after the interventions. The psychotherapy used in this study was cognitive behavioural therapy. There were statistically significant differences in socio-demographic and clinical variables in the schizophrenia and bipolar disorder group. There were no statistically significant differences in the psychological scales after conducting a multivariate analysis between the intervention groups and for both times (initial and final). This study did not show any changes in variables of psychological functioning variables between bipolar and schizophrenic groups, who were subjected to TI vs MI (who received cognitive behavioural therapy

  8. Multi-modal intervention improved oral intake in hospitalized patients. A one year follow-up study.

    Science.gov (United States)

    Holst, M; Beermann, T; Mortensen, M N; Skadhauge, L B; Lindorff-Larsen, K; Rasmussen, H H

    2015-04-01

    Good nutritional practice (GNP) includes screening, nutrition plan and monitoring, and is mandatory for targeted treatment of malnourished patients in hospital. To optimize energy- and protein-intake in patients at nutritional risk and to improve GNP in a hospital setting. A 12-months observational multi-modal intervention study was done, using the top-down and bottom-up principle. All hospitalized patients (>3 days) were included. A university hospital with 758 beds and all specialities. Record audit of GNP, energy- and protein-intake by 24-h recall, patient interviews and staff questionnaire before and after the intervention. Based on pre-measurements, nutrition support teams in each department made targeted action plans, supervised by an expert team. Education, diagnose-specific nutrition plans, improved menus and eating environment, and awareness were initiated. Mann-Whitney and Kruskal-Wallis test was used for ordinal data, and Pearson Chi square test for nominative data. Overall 545 patients participated (287 before/258 after) from 26/22 departments. There were no significant differences regarding sex, age, BMI or previous weight loss before and after the intervention. Result-indicators: Energy intake improved from 52% to 68% (p 75% of requirements). Intake of less than 50% of requirements decreased with 50%. Process-indicators: Screening improved from 56% to 77% (p multi-modal top-down and bottom-up approach. Copyright © 2014 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  9. Living with prostate cancer: randomised controlled trial of a multimodal supportive care intervention for men with prostate cancer

    Directory of Open Access Journals (Sweden)

    Lepore Stephen

    2011-07-01

    Full Text Available Abstract Background Prostate cancer is the most common male cancer in developed countries and diagnosis and treatment carries with it substantial morbidity and related unmet supportive care needs. These difficulties may be amplified by physical inactivity and obesity. We propose to apply a multimodal intervention approach that targets both unmet supportive care needs and physical activity. Methods/design A two arm randomised controlled trial will compare usual care to a multimodal supportive care intervention "Living with Prostate Cancer" that will combine self-management with tele-based group peer support. A series of previously validated and reliable self-report measures will be administered to men at four time points: baseline/recruitment (when men are approximately 3-6 months post-diagnosis and at 3, 6, and 12 months after recruitment and intervention commencement. Social constraints, social support, self-efficacy, group cohesion and therapeutic alliance will be included as potential moderators/mediators of intervention effect. Primary outcomes are unmet supportive care needs and physical activity levels. Secondary outcomes are domain-specific and health-related quality of life (QoL; psychological distress; benefit finding; body mass index and waist circumference. Disease variables (e.g. cancer grade, stage will be assessed through medical and cancer registry records. An economic evaluation will be conducted alongside the randomised trial. Discussion This study will address a critical but as yet unanswered research question: to identify a population-based way to reduce unmet supportive care needs; promote regular physical activity; and improve disease-specific and health-related QoL for prostate cancer survivors. The study will also determine the cost-effectiveness of the intervention. Trial Registration ACTRN12611000392965

  10. Efficacy of a multimodal intervention strategy in improving hand hygiene compliance in a tertiary level intensive care unit

    Directory of Open Access Journals (Sweden)

    Ashu S Mathai

    2011-01-01

    Full Text Available Context: The role of hand hygiene in preventing health care associated infections (HCAIs has been clearly established. However, compliance rates remain poor among health care personnel. Aims: a To investigate the health care workers′ hand hygiene compliance rates in the intensive care unit (ICU, b to assess reasons for non-compliance and c to study the efficacy of a multimodal intervention strategy at improving compliance. Settings: A mixed medical-surgical ICU of a tertiary level hospital. Design: A before-after prospective, observational, intervention study. Materials and Methods: All health care personnel who came in contact with patients in the ICU were observed for their hand hygiene compliance before and after a multimodal intervention strategy (education, posters, verbal reminders and easy availability of products. A self-report questionnaire was also circulated to assess perceptions regarding compliance. Statistical analysis was done using c2 test or Fisher exact test (Epi info software. Results: Hand hygiene compliance among medical personnel working in the ICU was 26% and the most common reason cited for non-compliance was lack of time (37%. The overall compliance improved significantly following the intervention to 57.36% (P<0.000. All health care worker groups showed significant improvements: staff nurses (21.48-61.59%, P<0.0000, nursing students (9.86-33.33%, P<0.0000, resident trainees (21.62-60.71%, P<0.0000, visiting consultants (22-57.14%, P=0.0001, physiotherapists (70-75.95%, P=0.413 and paramedical staff (10.71-55.45%, P< 0.0000. Conclusions: Hand hygiene compliance among health care workers in the ICU is poor; however, intervention strategies, such as the one used, can be useful in improving the compliance rates significantly.

  11. [Future psychologists' attitudes toward lesbians raising children together in the situation of child focused intervention].

    Science.gov (United States)

    Wycisk, Jowita; Kleka, Pawel

    2014-01-01

    The aim of paper was to explore the attitudes of Polish psychology students towards lesbian mothers whose children undergo psychological intervention, in an imaginary situation of providing professional support to the child. The authors found 3 types of psychologist behaviour: contact omission (withdrawal from the intervention, mother's partner exclusion), apparent appreciation of mother's partner and authentic appreciation of mother's partner (with women comparable participation). The authors explored an interaction between these attitudes and the support for gay and lesbian rights, the origin of the child (from a previous heterosexual relationship or present, homosexual one) and demographic variables. 97 students of psychology were examined at the Adam Mickiewicz University in Poznan, using the custom survey. Respondents were most likely to include mother's partner to intervention, and the least - to avoid contact. Based on cluster analysis we found three types of attitude: unconditional acceptance, conditional acceptance, dependent on whether the child was born due in heterosexual or lesbian relationship and avoidance / rejection. The attitude of participants was associated with the declared support for gay rights, there was no correlation with gender and age. Due to the significant level of social prejudice against gays and lesbians in Poland, the issue of homosexual parenting and social functioning of gay and lesbians' children should become an area of research and scientific debate. There is a necessity ofthe introduction of this issue to the curricula of higher education and the implementation of formal, systematic training on sexual diversity for the professionals supporting families.

  12. Raising a Red Flag on Dating Violence: Evaluation of a Low-Resource, College-Based Bystander Behavior Intervention Program.

    Science.gov (United States)

    Borsky, Amanda E; McDonnell, Karen; Turner, Monique Mitchell; Rimal, Rajiv

    2016-03-09

    Encouraging bystanders to intervene safely and effectively in situations that could escalate to violence-known as bystander behavior programs-is a growing yet largely untested strategy to prevent dating violence. Using a quasi-experimental design, we evaluate a low-resource, low-intensity intervention aimed at preventing dating violence among college students. The integrated behavioral model (IBM) was used to guide the evaluation. We also assess which IBM variables were most strongly associated with bystander behaviors. Participants were drawn from two Virginia colleges that predominantly train females in the health profession sciences. The intervention group (n = 329) participated in a university-wide bystander behavior intervention consisting of a 30-min presentation on dating violence at new-student orientation and a week-long "red flag" social marketing campaign on campus to raise awareness of dating violence. Controlling for changes at the comparison university, results showed an increase in bystander behaviors, such as encouraging a friend who may be in an abusive relationship to get help, after the intervention and adjusting for potential confounders (increase of 1.41 bystander behaviors, p = .04). However, no significant changes were found for bystander intentions, self-efficacy, social norms, or attitudes related to dating violence from pre- to post-intervention. Self-efficacy had a direct relationship with bystander behaviors. Results suggest that low-resource interventions have a modest effect on increasing bystander behaviors. However, higher resource interventions likely are needed for a larger impact, especially among students who already demonstrate strong baseline intentions to intervene and prevent dating violence.

  13. Future psychologists’ attitudes toward lesbians raising children together in the situation of child focused intervention

    Directory of Open Access Journals (Sweden)

    Wycisk, Jowita

    2014-08-01

    Full Text Available Objectives:The aim of paper was to explore the attitudes of Polish psychology students towards lesbian mothers whose children undergo psychological intervention, in an imaginary situation of providing professional support to the child. The authors found 3 types of psychologist behaviour: contact omission (withdrawal from the intervention, mother’s partner exclusion, apparent appreciation of mother’s partner and authentic appreciation of mother’s partner (with women comparable participation. The authors explored an interaction between these attitudes and the support for gay and lesbian rights, the origin of the child (from a previous heterosexual relationship or present, homosexual one and demographic variables. Methods: 97 students of psychology were examined at the Adam Mickiewicz University in Poznan, using the custom survey. Results: Respondents were most likely to include mother’s partner to intervention, and the least – to avoid contact. Based on cluster analysis we found three types of attitude: unconditional acceptance, conditional acceptance, dependent on whether the child was born due in heterosexual or lesbian relationship and avoidance / rejection. The attitude of participants was associated with the declared support for gay rights, there was no correlation with gender and age. Conclusions: Due to the significant level of social prejudice against gays and lesbians in Poland, the issue of homosexual parenting and social functioning of gay and lesbians’ children should become an area of research and scientific debate. There is a necessity of the introduction of this issue to the curricula of higher education and the implementation of formal, systematic training on sexual diversity for the professionals supporting families.

  14. A randomized trial on the effect of a multimodal intervention on physical capacity, functional performance and quality of life in adult patients undergoing allogeneic SCT.

    Science.gov (United States)

    Jarden, M; Baadsgaard, M T; Hovgaard, D J; Boesen, E; Adamsen, L

    2009-05-01

    The aim of this randomized controlled trial was to investigate the effect of a 4- to 6-week multimodal program of exercise, relaxation and psychoeducation on physical capacity, functional performance and quality of life (QOL) in allogeneic hematopoietic cell transplantation (allo-HSCT) adult recipients. In all, 42 patients were randomized to a supervised multimodal intervention or to a control group receiving usual care. The primary end point was on aerobic capacity measured in VO(2) max. Secondary end points were muscle strength, functional performance, physical activity level, QOL, fatigue, psychological well-being and clinical outcomes. The multimodal intervention had a significant effect on physical capacity: VO(2) max (P<0.0001) and muscle strength: chest press (P<0.0001), leg extension (P=0.0003), right elbow flexor (P=0.0009), right knee extensor (P<0.0001) and functional performance (stair test) (0.0008). Moreover, the intervention group showed significantly better results for the severity of diarrhea (P=0.014) and fewer days of total parenteral nutrition (P=0.019). Longitudinal changes in QOL, fatigue and psychological well-being favored the intervention group, but did not reach statistical significance. Assignment of a multimodal intervention during allo-HSCT did not cause untoward events, sustained aerobic capacity and muscle strength and reduced loss of functional performance during hospitalization.

  15. Effects of Supervised Multimodal Exercise Interventions on Cancer-Related Fatigue: Systematic Review and Meta-Analysis of Randomized Controlled Trials

    Directory of Open Access Journals (Sweden)

    José Francisco Meneses-Echávez

    2015-01-01

    Full Text Available Objective. Cancer-related fatigue (CRF is the most common and devastating problem in cancer patients even after successful treatment. This study aimed to determine the effects of supervised multimodal exercise interventions on cancer-related fatigue through a systematic review and meta-analysis. Design. A systematic review was conducted to determine the effectiveness of multimodal exercise interventions on CRF. Databases of PubMed, CENTRAL, EMBASE, and OVID were searched between January and March 2014 to retrieve randomized controlled trials. Risk of bias was evaluated using the PEDro scale. Results. Nine studies n=772 were included in both systematic review and meta-analysis. Multimodal interventions including aerobic exercise, resistance training, and stretching improved CRF symptoms (SMD=-0.23; 95% CI: −0.37 to −0.09; P=0.001. These effects were also significant in patients undergoing chemotherapy P<0.0001. Nonsignificant differences were found for resistance training interventions P=0.30. Slight evidence of publication bias was observed P=0.04. The studies had a low risk of bias (PEDro scale mean score of 6.4 (standard deviation (SD ± 1.0. Conclusion. Supervised multimodal exercise interventions including aerobic, resistance, and stretching exercises are effective in controlling CRF. These findings suggest that these exercise protocols should be included as a crucial part of the rehabilitation programs for cancer survivors and patients during anticancer treatments.

  16. Study protocol of the YOU CALL - WE CALL TRIAL: impact of a multimodal support intervention after a "mild" stroke

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    Bravo Gina

    2010-01-01

    Full Text Available Abstract Background More than 60% of new strokes each year are "mild" in severity and this proportion is expected to rise in the years to come. Within our current health care system those with "mild" stroke are typically discharged home within days, without further referral to health or rehabilitation services other than advice to see their family physician. Those with mild stroke often have limited access to support from health professionals with stroke-specific knowledge who would typically provide critical information on topics such as secondary stroke prevention, community reintegration, medication counselling and problem solving with regard to specific concerns that arise. Isolation and lack of knowledge may lead to a worsening of health problems including stroke recurrence and unnecessary and costly health care utilization. The purpose of this study is to assess the effectiveness, for individuals who experience a first "mild" stroke, of a sustainable, low cost, multimodal support intervention (comprising information, education and telephone support - "WE CALL" compared to a passive intervention (providing the name and phone number of a resource person available if they feel the need to - "YOU CALL", on two primary outcomes: unplanned-use of health services for negative events and quality of life. Method/Design We will recruit 384 adults who meet inclusion criteria for a first mild stroke across six Canadian sites. Baseline measures will be taken within the first month after stroke onset. Participants will be stratified according to comorbidity level and randomised to one of two groups: YOU CALL or WE CALL. Both interventions will be offered over a six months period. Primary outcomes include unplanned use of heath services for negative event (frequency calendar and quality of life (EQ-5D and Quality of Life Index. Secondary outcomes include participation level (LIFE-H, depression (Beck Depression Inventory II and use of health services for

  17. [Expressed Emotions, Burden and Family Functioning in Schizophrenic and Bipolar I Patients of a Multimodal Intervention Program: PRISMA].

    Science.gov (United States)

    Ramírez, Alexandra; Palacio, Juan David; Vargas, Cristian; Díaz-Zuluaga, Ana María; Duica, Kelly; Agudelo Berruecos, Yuli; Ospina, Sigifredo; López-Jaramillo, Carlos

    Bipolar disorder and schizophrenia are causes of major suffering in patients. Nevertheless, they also affect family and caregiver functioning. This is important because the participation and involvement of families and caregivers is essential to achieve an optimal treatment. To describe the level of expressed emotions, burden, and family functioning of bipolar and schizophrenic patients and, to evaluate the efficacy of the multimodal intervention (MI) versus traditional intervention (TI) in family functioning and its perception by patients and caregivers. A prospective, longitudinal, therapeutic-comparative study was conducted with 302 patients (104 schizophrenic and 198 bipolar patients) who were randomly assigned to a MI or TI groups of a multimodal intervention program PRISMA. MI group received care from psychiatry, general medicine, neuropsychology, family therapy, and occupational therapy. TI group received care from psychiatry and general medicine. Hamilton, Young and SANS, SAPS scales were applied to bipolar and schizophrenic patients, respectively. The EEAG, FEICS, FACES III and ECF were also applied at the initial and final time. There were statistically significant differences in socio- demographic and clinical variables in schizophrenia vs bipolar group: 83% vs 32.2% were male, 37 vs 43 mean age, 96% vs 59% were single, 50% vs 20% unemployed, and 20% vs 40% had college studies. In addition, 2 vs 2.5 numbers of hospitalisations, 18 vs 16 mean age of substance abuse onset and, 55 vs 80 points in EEAG. There were no statistically significant differences in family scales after conducting a multivariate analysis on thr initial and final time in both groups. This study did not show changes in variables of burden and family functioning between bipolar and schizophrenic groups that were under TI vs MI. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  18. Hospital-wide multidisciplinary, multimodal intervention programme to reduce central venous catheter-associated bloodstream infection.

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    Walter Zingg

    Full Text Available Central line-associated bloodstream infection (CLABSI is the major complication of central venous catheters (CVC. The aim of the study was to test the effectiveness of a hospital-wide strategy on CLABSI reduction. Between 2008 and 2011, all CVCs were observed individually and hospital-wide at a large university-affiliated, tertiary care hospital. CVC insertion training started from the 3rd quarter and a total of 146 physicians employed or newly entering the hospital were trained in simulator workshops. CVC care started from quarter 7 and a total of 1274 nurses were trained by their supervisors using a web-based, modular, e-learning programme. The study included 3952 patients with 6353 CVCs accumulating 61,366 catheter-days. Hospital-wide, 106 patients had 114 CLABSIs with a cumulative incidence of 1.79 infections per 100 catheters. We observed a significant quarterly reduction of the incidence density (incidence rate ratios [95% confidence interval]: 0.92 [0.88-0.96]; P<0.001 after adjusting for multiple confounders. The incidence densities (n/1000 catheter-days in the first and last study year were 2.3/1000 and 0.7/1000 hospital-wide, 1.7/1000 and 0.4/1000 in the intensive care units, and 2.7/1000 and 0.9/1000 in non-intensive care settings, respectively. Median time-to-infection was 15 days (Interquartile range, 8-22. Our findings suggest that clinically relevant reduction of hospital-wide CLABSI was reached with a comprehensive, multidisciplinary and multimodal quality improvement programme including aspects of behavioural change and key principles of good implementation practice. This is one of the first multimodal, multidisciplinary, hospital-wide training strategies successfully reducing CLABSI.

  19. Building the rationale and structure for a complex physical therapy intervention within the context of a clinical trial: a multimodal individualized treatment for patients with hip osteoarthritis.

    Science.gov (United States)

    Bennell, Kim L; Egerton, Thorlene; Pua, Yong-Hao; Abbott, J Haxby; Sims, Kevin; Buchbinder, Rachelle

    2011-10-01

    Evaluating the efficacy of complex interventions such as multimodal, impairment-based physical therapy treatments in randomized controlled trials is essential to inform practice and compare relative benefits of available treatment options. Studies of physical therapy interventions using highly standardized intervention protocols, although methodologically rigorous, do not necessarily reflect "real-world" clinical practice, and in many cases results have been disappointing. Development of a complex intervention that includes multiple treatment modalities and individualized treatment technique selection requires a systematic approach to designing all aspects of the intervention based on theory, evidence, and practical constraints. This perspective article outlines the development of the rationale and structure of a multimodal physical therapy program for painful hip osteoarthritis to be assessed in a clinical trial. The resulting intervention protocol comprises a semi-structured program of exercises and manual therapy, advice, physical activity, and optional prescription of a gait aid that is standardized, yet can be individualized according to physical assessment and radiographic findings. The program is evidence based and reflects contemporary physical therapist practice, while also being reproducible and reportable. This perspective article aims to encourage physical therapy researchers involved in evaluation of complex interventions to better document their own intervention development, as well as the outcomes, thus generating a body of knowledge about the development processes and protocols that is generalizable to the real-world complexity of providing physical therapy to individual patients.

  20. Using a mass media campaign to raise women's awareness of the link between alcohol and cancer: cross-sectional pre-intervention and post-intervention evaluation surveys.

    Science.gov (United States)

    Dixon, Helen G; Pratt, Iain S; Scully, Maree L; Miller, Jessica R; Patterson, Carla; Hood, Rebecca; Slevin, Terry J

    2015-03-11

    To evaluate the effectiveness of a population-based, statewide public health intervention designed to improve women's awareness and knowledge of the link between alcohol and cancer. Cross-sectional tracking surveys conducted pre-intervention and post-intervention (waves I and III of campaign). Western Australia. Cross-sectional samples of Western Australian women aged 25-54 years before the campaign (n=136) and immediately after wave I (n=206) and wave III (n=155) of the campaign. The 'Alcohol and Cancer' mass media campaign ran from May 2010 to May 2011 and consisted of three waves of paid television advertising with supporting print advertisements. Campaign awareness; knowledge of drinking guidelines and the link between alcohol and cancer; intentions towards drinking. Prompted recognition of the campaign increased from 67% following wave I to 81% following wave III (adjusted OR (adj OR)=2.31, 95% CI 1.33 to 4.00, p=0.003). Improvements in women's knowledge that drinking alcohol on a regular basis increases cancer risk were found following wave I (adj OR=2.60, 95% CI 1.57 to 4.30, pmedia campaign can reach the target audience and raise awareness of links between alcohol and cancer, and knowledge of drinking guidelines. However, a single campaign may be insufficient to measurably curb drinking behaviour in a culture where pro-alcohol social norms and product marketing are pervasive. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  1. Interventional and multimodal pain rehabilitation in a child with meralgia paresthetica.

    Science.gov (United States)

    Franklin, Andrew D; Cierny, G Bennett; Luckett, Twila R

    2016-09-01

    Meralgia paresthetica is a chronic pain syndrome that is extremely rare in the pediatric population. It is manifested by hypesthesia or pain in the distribution of the lateral femoral cutaneous nerve (LFCN) and is typically caused by entrapment as the nerve passes deep to the inguinal ligament. This sensory mononeuropathy is rare in children and diagnosis is typically delayed, often leading to prolonged functional impairment and unnecessary medical testing. A 9-year-old girl presented to the pain clinic with a 6-week history of right anterolateral thigh pain first noticed after a nontraumatic cheerleading practice. Comprehensive laboratory and radiographic evaluation by multiple prior specialists revealed no clear nociceptive source of pain. History and examination were consistent with a diagnosis of idiopathic, compressive meralgia paresthetica. Conservative management including physical therapy was followed for 2 weeks with only mild improvement noted. To facilitate physical therapy, an ultrasound-guided LFCN block was performed which confirmed the diagnosis by providing complete analgesia. The patient reported overall 25% improvement from multimodal therapy at another 2 weeks. A second LFCN block was performed with complete resolution of symptoms and restoration of function. The patient remains pain-free and has returned to walking, running, and competitive sports. The primary goal of pediatric chronic pain management, regardless of pain etiology, is early restoration of function to avoid prolonged absence from school, sports, or other productive activities and limit the psychological burden of chronic disease. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Improving healthcare worker hand hygiene adherence before patient contact: A multimodal intervention of hand hygiene practice in Three Japanese tertiary care centers.

    Science.gov (United States)

    Sakihama, Tomoko; Honda, Hitoshi; Saint, Sanjay; Fowler, Karen E; Kamiya, Toru; Sato, Yumiko; Iuchi, Ritsuko; Tokuda, Yasuharu

    2016-03-01

    Though hand hygiene is an important method of preventing healthcare-associated infection, we found suboptimal hand hygiene adherence among healthcare workers in 4 diverse Japanese hospitals (adherence rates of 11%-25%). Our goal was to assess multimodal hand hygiene intervention coupled with a contest to improve hand hygiene adherence. A total of 3 to 4 inpatient wards in 3 Japanese hospitals. Pre-post intervention study. The intervention was a multimodal hand hygiene intervention recommended by the World Health Organization that was tailored to each facility. The hospital with the highest adherence after the intervention was given $5000 US dollars and a trophy, provided by an American coinvestigator unaffiliated with any of the Japanese hospitals. We tracked hand hygiene adherence rates before patient contact for each unit and hospital and compared these to pre-intervention adherence rates. We observed 2982 postintervention provider-patient encounters in 10 units across 3 hospitals. Hand hygiene adherence rates were improved overall after the intervention (18% pre- to 33% postintervention; P hand hygiene rates among Japanese healthcare workers. Given the overall low rates, however, further improvement is necessary. © 2015 Society of Hospital Medicine.

  3. A Multi-Modal Approach to Intervention for One Adolescent's Frontal Lisp

    Science.gov (United States)

    Lipetz, Heidi Massel; Bernhardt, B. May

    2013-01-01

    An adolescent with a persistent frontal lisp participated in a two-part 11-session intervention case study. The first phase used ultrasound imagery and acoustic, phonetic and voice education to provide information about articulatory setting (AS) and general awareness of the speech production process. The second phase used traditional articulation…

  4. Multimodal intervention improves fatigue and quality of life in subjects with progressive multiple sclerosis: a pilot study

    Directory of Open Access Journals (Sweden)

    Bisht B

    2015-02-01

    Full Text Available Babita Bisht,1 Warren G Darling,2 E Torage Shivapour,3 Susan K Lutgendorf,4–6 Linda G Snetselaar,7 Catherine A Chenard,1 Terry L Wahls1,8 1Department of Internal Medicine, Carver College of Medicine, University of Iowa, 2Department of Health and Human Physiology, College of Liberal Arts and Sciences, University of Iowa, 3Department of Neurology, Carver College of Medicine, University of Iowa, 4Department of Psychology, College of Liberal Arts and Sciences, University of Iowa, 5Department of Obstetrics and Gynecology, Carver College of Medicine, University of Iowa, 6Department of Urology, Carver College of Medicine, University of Iowa, 7Department of Epidemiology, College of Public Health, University of Iowa, 8Department of Internal Medicine, VA Medical Center, Iowa City, IA, USA Background: Fatigue is a disabling symptom of multiple sclerosis (MS and reduces quality of life. The aim of this study was to investigate the effects of a multimodal intervention, including a modified Paleolithic diet, nutritional supplements, stretching, strengthening exercises with electrical stimulation of trunk and lower limb muscles, and stress management on perceived fatigue and quality of life of persons with progressive MS. Methods: Twenty subjects with progressive MS and average Expanded Disability Status Scale (EDSS score of 6.2 (range: 3.5–8.0 participated in the 12-month phase of the study. Assessments were completed at baseline and at 3 months, 6 months, 9 months, and 12 months. Safety analyses were based on monthly side effects questionnaires and blood analyses at 1 month, 3 months, 6 months, 9 months, and 12 months. Results: Subjects showed good adherence (assessed from subjects' daily logs with this intervention and did not report any serious side effects. Fatigue Severity Scale (FSS and Performance Scales-fatigue subscale scores decreased in 12 months (P<0.0005. Average FSS scores of eleven subjects showed clinically significant reduction (more than

  5. Personalized, relevance-based Multimodal Robotic Imaging and augmented reality for Computer Assisted Interventions.

    Science.gov (United States)

    Navab, Nassir; Fellow, Miccai; Hennersperger, Christoph; Frisch, Benjamin; Fürst, Bernhard

    2016-10-01

    In the last decade, many researchers in medical image computing and computer assisted interventions across the world focused on the development of the Virtual Physiological Human (VPH), aiming at changing the practice of medicine from classification and treatment of diseases to that of modeling and treating patients. These projects resulted in major advancements in segmentation, registration, morphological, physiological and biomechanical modeling based on state of art medical imaging as well as other sensory data. However, a major issue which has not yet come into the focus is personalizing intra-operative imaging, allowing for optimal treatment. In this paper, we discuss the personalization of imaging and visualization process with particular focus on satisfying the challenging requirements of computer assisted interventions. We discuss such requirements and review a series of scientific contributions made by our research team to tackle some of these major challenges. Copyright © 2016. Published by Elsevier B.V.

  6. Placebo-induced somatic sensations: a multi-modal study of three different placebo interventions.

    Science.gov (United States)

    Beissner, Florian; Brünner, Franziska; Fink, Maria; Meissner, Karin; Kaptchuk, Ted J; Napadow, Vitaly

    2015-01-01

    Somatic sensations induced by placebos are a frequent phenomenon whose etiology and clinical relevance remains unknown. In this study, we have evaluated the quantitative, qualitative, spatial, and temporal characteristics of placebo-induced somatic sensations in response to three different placebo interventions: (1) placebo irritant solution, (2) placebo laser stimulation, and (3) imagined laser stimulation. The quality and intensity of evoked sensations were assessed using the McGill pain questionnaire and visual analogue scales (VAS), while subjects' sensation drawings processed by a geographic information system (GIS) were used to measure their spatial characteristics. We found that all three interventions are capable of producing robust sensations most frequently described as "tingling" and "warm" that can reach consider-able spatial extent (≤ 205 mm²) and intensity (≤ 80/100 VAS). Sensations from placebo stimulation were often referred to areas remote from the stimulation site and exhibit considerable similarity with referred pain. Interestingly, there was considerable similarity of qualitative features as well as spatial patterns across subjects and placebos. However, placebo laser stimulation elicited significantly stronger and more widespread sensations than placebo irritant solution. Finally, novelty seeking, a character trait assessed by the Temperament and Character Inventory and associated with basal dopaminergic activity, was less pronounced in subjects susceptible to report placebo-induced sensations. Our study has shown that placebo-induced sensations are frequent and can reach considerable intensity and extent. As multiple somatosensory subsystems are involved despite the lack of peripheral stimulus, we propose a central etiology for this phenomenon.

  7. Compliance with hygiene guidelines: the effect of a multimodal hygiene intervention and validation of direct observations.

    Science.gov (United States)

    Mernelius, Sara; Svensson, Per-Olof; Rensfeldt, Gunhild; Davidsson, Ewa; Isaksson, Barbro; Löfgren, Sture; Matussek, Andreas

    2013-05-01

    Good compliance with hygiene guidelines is essential to prevent bacterial transmission and health care-associated infections. However, the compliance is usually dress code at the 4 departments were 39% to 47% and 79% to 98%, respectively. Point of stability was reached approximately 1 year after the hygiene intervention was launched. The compliance with barrier precautions was significantly higher at follow-up compared with baseline in 3 departments. In the validation by double appraisal, 471 of 483 components were judged identical between observers. In the multiappraisal, 95% to 100% of the observers correctly judged the 7 components. It is possible to improve compliance with hygiene guidelines, but, to ensure a long-lasting effect, a continuous focus on barrier precautions is required. Observation is a valid method to monitor compliance. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  8. Graph-based surface extraction of the liver using locally adaptive priors for multimodal interventional image registration

    Science.gov (United States)

    Kadoury, Samuel; Wood, Bradford J.; Venkatesan, Aradhana M.; Ardon, Roberto; Jago, James; Kruecker, Jochen

    2012-02-01

    The 3D fusion of tracked ultrasound with a diagnostic CT image has multiple benefits in a variety of interventional applications for oncology. Still, manual registration is a considerable drawback to the clinical workflow and hinders the widespread clinical adoption of this technique. In this paper, we propose a method to allow for an image-based automated registration, aligning multimodal images of the liver. We adopt a model-based approach that rigidly matches segmented liver shapes from ultrasound (U/S) and diagnostic CT imaging. Towards this end, a novel method which combines a dynamic region-growing method with a graph-based segmentation framework is introduced to address the challenging problem of liver segmentation from U/S. The method is able to extract liver boundary from U/S images after a partial surface is generated near the principal vector from an electromagnetically tracked U/S liver sweep. The liver boundary is subsequently expanded by modeling the problem as a graph-cut minimization scheme, where cost functions used to detect optimal surface topology are determined from adaptive priors of neighboring surface points. This allows including boundaries affected by shadow areas by compensating for varying levels of contrast. The segmentation of the liver surface is performed in 3D space for increased accuracy and robustness. The method was evaluated in a study involving 8 patients undergoing biopsy or radiofrequency ablation of the liver, yielding promising surface segmentation results based on ground-truth comparison. The proposed extended segmentation technique improved the fiducial landmark registration error compared to a point-based registration (7.2mm vs. 10.2mm on average, respectively), while achieving tumor target registration errors that are statistically equivalent (p > 0.05) to state-of-the-art methods.

  9. The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure.

    Science.gov (United States)

    Kim, Kim B; Han, Hae-Ra; Huh, Boyun; Nguyen, Tam; Lee, Hochang; Kim, Miyong T

    2014-09-01

    Great strides have been made in improving heart health in the United States during the last 2 decades, yet these strides have not encompassed many ethnic minority populations. There are significant health disparity gaps stemming from both a paucity of valid research and a lack of culturally sensitive interventions. In particular, many Korean Americans with chronic illnesses encounter difficulty navigating the healthcare system because of limited health literacy. The effect of a multimodal Self-Help Intervention Program on the Control of High Blood Pressure (HBP) was tested in a community-based clinical trial for Korean American seniors. Of 440 seniors enrolled, 369 completed the study (184 in the intervention group and 185 in the control group; mean age = 70.9±5.3 years). The intervention group received 6 weekly educational sessions on HBP management skill building, including health literacy training, followed by telephone counseling and home blood pressure (BP) monitoring for 12 months. Findings support that the Self-Help Intervention Program on the Control of HBP was effective in controlling BP in this ethnic/linguistic minority population. The BP control rates for the intervention and control groups were 49.5% vs. 43.2% at baseline, 58.5% vs. 42.4% at 6 months, 67.9% vs. 52.5% at 12 months, and 54.3% vs. 53.0% at 18 months. Significant changes were observed over time in some psychobehavioral outcomes, including self-efficacy for BP control, medication adherence behavior, HBP knowledge, and depression. The study findings suggest that the multimodal Self-Help Intervention Program on the Control of HBP is effective at promoting optimal HBP control for this ethnic/linguistic minority population. NCT00406614. © American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Improvement of Adherence to Hand Hygiene Practice Using a Multimodal Intervention Program in a Neonatal Intensive Care

    NARCIS (Netherlands)

    van den Hoogen, Agnes; Brouwer, Annemieke J.; Verboon-Maciolek, Malgorzata A.; Gerards, Leo J.; Fleer, Andre; Krediet, Tannette G.

    2011-01-01

    Nosocomial infections are serious complications among preterm infants admitted to neonatal intensive care units (NICU). Hand hygiene is one of the most effective measures to prevent these infections. This study, performed in a tertiary level NICU, highlights the importance of a multi-modal intervent

  11. The effect of a multimodal intervention on treatment-related symptoms in patients undergoing hematopoietic stem cell transplantation: a randomized controlled trial.

    Science.gov (United States)

    Jarden, Mary; Nelausen, Knud; Hovgaard, Doris; Boesen, Ellen; Adamsen, Lis

    2009-08-01

    Studies applying exercise, relaxation training, and psychoeducation have each indicated a positive impact on physical performance and/or psychological factors in patients diagnosed with cancer. We explored the longitudinal effect of a combination of these interventions on treatment-related symptoms in patients undergoing myeloablative allogeneic hematopoietic stem cell transplantation (allo-HSCT). Forty-two patients (18-65 years) were randomized either to an intervention or a control group. The intervention group received standard treatment and care, and a supervised four- to six-week structured exercise program, progressive relaxation, and psychoeducation during hospitalization, one hour per day for five days per week. The control group received standard treatment, care, and physiotherapy. A 24-item symptom assessment questionnaire was completed weekly during hospitalization, and at three and six months after allo-HCST. Through principal component analysis with varimax rotation, individual symptoms were grouped into five symptom clusters: mucositis, cognitive, gastrointestinal, affective, and functional symptom clusters. Then, a subsequent general estimate equation analysis revealed similar longitudinal patterns of intensity in all symptom clusters for intervention and control groups, but in the intervention group, there was an overall significant reduction (P<0.05) in symptom intensity over time for all clusters except the affective symptom cluster. This study provides beginning evidence for the efficacy of an exercise-based multimodal intervention in reducing the intensity of a spectrum of symptoms in this small sample of patients undergoing allo-HSCT.

  12. Unilateral NMR: a Noninvasive Tool for Monitoring In Situ the Effectiveness of Intervention to Reduce the Capillary Raise of Water in an Ancient Deteriorated Wall Painting

    Directory of Open Access Journals (Sweden)

    Valeria Di Tullio

    2012-01-01

    Full Text Available Portable unilateral NMR was used to quantitatively map in a fully noninvasive way the moisture distribution in an ancient deteriorated wall painting before and after an intervention to reduce the capillary raise of water through the wall. Maps obtained at a depth of 0.5 cm clearly showed the path of the capillary raise and indicated that, after the intervention, the moisture level was reduced. Maps obtained by measuring the first layers of the wall painting were affected by the critical environmental conditions of the second hypogeous level of St. Clement Basilica, Rome, and by the presence of salts efflorescence and encrustations on the surface of the wall painting. The morphology and the elemental composition of salts investigated by SEM-EDS indicated that efflorescences and encrustations were mostly constituted of gypsum and calcite. The presence of these salts is explained with the presence of high concentration of carbon dioxide and sulphur-rich particles due to pollution which, along with the high-moisture level and the extremely feeble air circulation, cause recarbonation and sulphation processes on the plaster surface.

  13. A 3-week multimodal intervention involving high-intensity interval training in female cancer survivors: a randomized controlled trial.

    Science.gov (United States)

    Schmitt, Joachim; Lindner, Nathalie; Reuss-Borst, Monika; Holmberg, Hans-Christer; Sperlich, Billy

    2016-02-01

    To compare the effects of a 3-week multimodal rehabilitation involving supervised high-intensity interval training (HIIT) on female breast cancer survivors with respect to key variables of aerobic fitness, body composition, energy expenditure, cancer-related fatigue, and quality of life to those of a standard multimodal rehabilitation program. A randomized controlled trial design was administered. Twenty-eight women, who had been treated for cancer were randomly assigned to either a group performing exercise of low-to-moderate intensity (LMIE; n = 14) or a group performing high-intensity interval training (HIIT; n = 14) as part of a 3-week multimodal rehabilitation program. No adverse events related to the exercise were reported. Work economy improved following both HIIT and LMIE, with improved peak oxygen uptake following LMIE. HIIT reduced mean total body fat mass with no change in body mass, muscle or fat-free mass (best P HIIT can be performed by female cancer survivors without adverse health effects. Here, HIIT and LMIE both improved work economy, quality of life and cancer-related fatigue, body composition or energy expenditure. Since the outcomes were similar, but HIIT takes less time, this may be a time-efficient strategy for improving certain aspects of the health of female cancer survivors.

  14. Multimodal Afslapning

    Directory of Open Access Journals (Sweden)

    Stephen Palmer

    2012-10-01

    Full Text Available Artiklen beskriver Multimodal Relaxation Method (MRM, fremover Multimodal Afslapningsmetode, somkan anvendes i livs-, ledelses-, virksomheds-, sports- eller sundhedscoaching til at forbedre ydeevnen hos denenkelte og reducere eller håndtere stress. Inden for sports- og sundhedscoaching kan metoden anvendes til atreducere fysiske spændinger og styrke fysiologisk kontrol, fx lavere hjertefrekvens og nedsætte blodtrykket.

  15. Multimode C-arm fluoroscopy, tomosynthesis, and cone-beam CT for image-guided interventions: from proof of principle to patient protocols

    Science.gov (United States)

    Siewerdsen, J. H.; Daly, M. J.; Bachar, G.; Moseley, D. J.; Bootsma, G.; Brock, K. K.; Ansell, S.; Wilson, G. A.; Chhabra, S.; Jaffray, D. A.; Irish, J. C.

    2007-03-01

    High-performance intraoperative imaging is essential to an ever-expanding scope of therapeutic procedures ranging from tumor surgery to interventional radiology. The need for precise visualization of bony and soft-tissue structures with minimal obstruction to the therapy setup presents challenges and opportunities in the development of novel imaging technologies specifically for image-guided procedures. Over the past ~5 years, a mobile C-arm has been modified in collaboration with Siemens Medical Solutions for 3D imaging. Based upon a Siemens PowerMobil, the device includes: a flat-panel detector (Varian PaxScan 4030CB); a motorized orbit; a system for geometric calibration; integration with real-time tracking and navigation (NDI Polaris); and a computer control system for multi-mode fluoroscopy, tomosynthesis, and cone-beam CT. Investigation of 3D imaging performance (noise-equivalent quanta), image quality (human observer studies), and image artifacts (scatter, truncation, and cone-beam artifacts) has driven the development of imaging techniques appropriate to a host of image-guided interventions. Multi-mode functionality presents a valuable spectrum of acquisition techniques: i.) fluoroscopy for real-time 2D guidance; ii.) limited-angle tomosynthesis for fast 3D imaging (e.g., ~10 sec acquisition of coronal slices containing the surgical target); and iii.) fully 3D cone-beam CT (e.g., ~30-60 sec acquisition providing bony and soft-tissue visualization across the field of view). Phantom and cadaver studies clearly indicate the potential for improved surgical performance - up to a factor of 2 increase in challenging surgical target excisions. The C-arm system is currently being deployed in patient protocols ranging from brachytherapy to chest, breast, spine, and head and neck surgery.

  16. Decreasing menopausal symptoms in women undertaking a web-based multi-modal lifestyle intervention: The Women's Wellness Program.

    Science.gov (United States)

    Anderson, Debra; Seib, Charrlotte; McGuire, Amanda; Porter-Steele, Janine

    2015-05-01

    Menopausal transition can be challenging for many women. This study tested the effectiveness of an intervention delivered in different modes in decreasing menopausal symptoms in midlife women. The Women's Wellness Program (WWP) intervention was delivered to 225 Australian women aged between 40 and 65 years through three modes (i.e., on-line independent, face-to-face with nurse consultations, and on-line with virtual nurse consultations). All women in the study were provided with a 12-week Program Book outlining healthy lifestyle behaviors while women in the consultation groups were supported by a registered nurse who provide tailored health education and assisted with individual goal setting for exercise, healthy eating, smoking and alcohol consumption. Pre- and post-intervention data were collected on menopausal symptoms (Greene Climacteric Scale), health related quality of life (SF12), and modifiable lifestyle factors. Linear mixed-effect models showed an average 0.87 and 1.23 point reduction in anxiety (plifestyle intervention embedded within a wellness framework has the potential to reduce menopausal symptoms and improve quality of life in midlife women thus potentially enhancing health and well-being in women as they age. Of course, study replication is needed to confirm the intervention effects.

  17. Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia

    Directory of Open Access Journals (Sweden)

    Glenda Dias Santos

    2015-12-01

    Full Text Available Abstract Background Non-pharmalogical interventions represent an important complement to standard pharmalogical treatment in dementia. Objective This study aims to evaluate the effects of a multidisciplinary rehabilitation program on cognitive ability, quality of life and depression symptoms in patients with Alzheimer’s disease (AD and cognitive impairment without dementia (CIND. Methods Ninety-seven older adults were recruited to the present study. Of these, 70 patients had mild AD and were allocated into experimental (n = 54 or control (n = 16 groups. Two additional active comparison groups were constituted with patients with moderate AD (n = 13 or with CIND (n = 14 who also received the intervention. The multidisciplinary rehabilitation program lasted for 12 weeks and was composed by sessions of memory training, recreational activities, verbal expression and writing, physical therapy and physical training, delivered in two weekly 6-hour sessions. Results As compared to controls, mild AD patients who received the intervention had improvements in cognition (p = 0.021 and quality of life (p = 0.003, along with a reduction in depressive symptoms (p < 0.001. As compared to baseline, CIND patients displayed at the end of the intervention improvements in cognition (p = 0.005 and depressive symptoms (p = 0.011. No such benefits were found among patients with moderate AD.Discussion: This multidisciplinary rehabilitation program was beneficial for patients with mild AD and CIND. However, patients with moderate dementia did not benefit from the intervention.

  18. Multimodal Intervention Trial for Cognitive Deficits in Neurofibromatosis Type 1: Efficacy of computerized Cognitive Training and Stimulant Medication

    Science.gov (United States)

    2016-10-01

    intellectual quotient, executive functioning, and academic perfonnance In children with NFl over time. Given the high incidence and burdens of...attention and WM problems in children with NFl , identifying feasible and efficacious interventions is a critical priority. 2. KEYWORDS: neurofibromatosis

  19. An evaluation of the effectiveness of a multi-modal intervention in frail and pre-frail older people with type 2 diabetes--the MID-Frail study: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Rodríguez-Mañas, Leocadio; Bayer, Antony J; Kelly, Mark; Zeyfang, Andrej; Izquierdo, Mikel; Laosa, Olga; Hardman, Timothy C; Sinclair, Alan J; Moreira, Severina; Cook, Justin

    2014-01-24

    Diabetes, a highly prevalent, chronic disease, is associated with increasing frailty and functional decline in older people, with concomitant personal, social, and public health implications. We describe the rationale and methods of the multi-modal intervention in diabetes in frailty (MID-Frail) study. The MID-Frail study is an open, randomised, multicentre study, with random allocation by clusters (each trial site) to a usual care group or an intervention group. A total of 1,718 subjects will be randomised with each site enrolling on average 14 or 15 subjects. The primary objective of the study is to evaluate, in comparison with usual clinical practice, the effectiveness of a multi-modal intervention (specific clinical targets, education, diet, and resistance training exercise) in frail and pre-frail subjects aged ≥70 years with type 2 diabetes in terms of the difference in function 2 years post-randomisation. Difference in function will be measured by changes in a summary ordinal score on the short physical performance battery (SPPB) of at least one point. Secondary outcomes include daily activities, economic evaluation, and quality of life. The MID-Frail study will provide evidence on the clinical, functional, social, and economic impact of a multi-modal approach in frail and pre-frail older people with type 2 diabetes. ClinicalTrials.gov: NCT01654341.

  20. Effects of a 6-month multimodal training intervention on retention of functional fitness in older adults: A randomized-controlled cross-over design

    Directory of Open Access Journals (Sweden)

    Gudlaugsson Janus

    2012-09-01

    Full Text Available Abstract Background Older adults have the highest rates of disability, functional dependence and use of healthcare resources. Training interventions for older individuals are of special interest where regular physical activity (PA has many health benefits. The main purpose of this study was to assess the immediate and long-term effects of a 6-month multimodal training intervention (MTI on functional fitness in old adults. Methods For this study, 117 participants, 71 to 90 years old, were randomized in immediate intervention group and a control group (delayed intervention group. The intervention consisted of daily endurance and twice-a-week strength training. The method was based on a randomized-controlled cross-over design. Short Physical Performance Battery (SPPB, 8 foot up-and-go test, strength performance, six min walking test (6 MW, physical activity, BMI and quality of life were obtained at baseline, after a 6-month intervention- and control phase, again after 6-month crossover- and delayed intervention phase, and after anadditional 6-month follow-up. Results After 6 months of MTI, the intervention group improved in physical performance compared with the control group via Short Physical Performance Battery (SPPB score (mean diff = 0.6, 95 % CI: 0.1, 1.0 and 8-foot up-and-go test (mean diff = −1.0 s, 95 % CI: -1.5, -0.6, and in endurance performance via 6-minute walking test (6 MW (mean diff = 44.2 meters, 95 % CI: 17.1, 71.2. In strength performance via knee extension the intervention group improved while control group declined (mean diff = 55.0 Newton, 95 % CI: 28.4, 81.7, and also in PA (mean diff = 125.9 cpm, 95 % CI: 96.0, 155.8. Long-term effects of MTI on the particpants was assesed by estimating the mean difference in the variables measured between time-point 1 and 4: SPPB (1.1 points, 95 % CI: 0.8, 1.4; 8-foot up-and-go (−0.9 s, 95 % CI: -1.2, -0.6; 6 MW (18.7 m, 95 % CI: 6.5, 31.0; knee extension (4.2 Newton

  1. Multimodal stilistik

    DEFF Research Database (Denmark)

    Nørgaard, Nina

    2012-01-01

    socialsemiotiske multimodalitetsteori. Formålet med en sådan multimodal stilistik er således at udvikle et konsistent systematisk analyseapparat, der kan fange og beskrive den multimodale semiosis, der realiseres i romanen såvel som i andre typer tekst. Med nedslag i et udvalg af skandinaviske og oversatte...

  2. Multimodal approach to postoperative recovery

    DEFF Research Database (Denmark)

    Kehlet, Henrik

    2009-01-01

    PURPOSE OF REVIEW: To provide updated information on recent developments within individual components of multimodal interventions to improve postoperative outcome (fast-track methodology). RECENT FINDINGS: The value of the fast-track methodology to improve recovery and decrease hospital stay...

  3. Multimodality Imaging Evaluation of Functional and Clinical Benefits of Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion Lesion

    Directory of Open Access Journals (Sweden)

    Dongdong Sun, Jing Wang, Yue Tian, Kazim Narsinh, Haichang Wang, Chengxiang Li, Xiaowei Ma, Yabing Wang, Dongjuan Wang, Chunhong Li, Joseph C Wu, Jie Tian, Feng Cao

    2012-01-01

    Full Text Available Aims: To determine the effects of percutaneous coronary intervention (PCI on cardiac perfusion, cardiac function, and quality of life in patients with chronic total occlusion (CTO lesion in left anterior descending (LAD coronary artery.Methods and Results: Patients (n=99 with CTO lesion in the LAD coronary artery who had successfully undergone PCI were divided into three groups based on the SPECT/CTCA fusion imaging: (a no severe cardiac perfusion defects (n=9; (b reversible cardiac perfusion defects (n=40; or (c fixed cardiac perfusion defects (n=50. No statistical difference of perfusion abnormality was observed at 6 months and 1 year after PCI in group (a. In group (b, SPECT/CTCA fusion imaging demonstrated that cardiac perfusion abnormality was significantly decreased 6 month and 1 year after PCI. Left ventricular ejection fraction (LVEF increased significantly at 6 months and 1 year follow up. Quality of life improved at 6 months and 1 year after PCI procedure. Moreover, patients in group (c also benefited from PCI therapy: a decrease in cardiac perfusion abnormality, an increase in LVEF, and an improvement in quality of life. PCI of coronary arteries in addition to LAD did not significantly affect cardiac function and quality of life improvement in each group.Conclusions: PCI exerts functional and clinical benefits in patients with CTO lesion in LAD coronary artery, particularly in patients with reversible cardiac perfusion defects. SPECT/CTCA fusion imaging may serve as a useful tool to evaluate the outcomes of patients with CTO lesion in LAD coronary artery.

  4. Raising the Reading Skills of Secondary-Age Students with Severe and Persistent Reading Difficulties: Evaluation of the Efficacy and Implementation of a Phonics-Based Intervention Programme

    Science.gov (United States)

    Jeffes, Ben

    2016-01-01

    The importance of reading skills to academic achievement, job acquisition and future success is well documented. Most of the research on reading interventions focuses on children in primary schools but many children start secondary school with very poor reading skills and schools require evidence-based interventions to support these children. The…

  5. Raising the Reading Skills of Secondary-Age Students with Severe and Persistent Reading Difficulties: Evaluation of the Efficacy and Implementation of a Phonics-Based Intervention Programme

    Science.gov (United States)

    Jeffes, Ben

    2016-01-01

    The importance of reading skills to academic achievement, job acquisition and future success is well documented. Most of the research on reading interventions focuses on children in primary schools but many children start secondary school with very poor reading skills and schools require evidence-based interventions to support these children. The…

  6. A randomized trial on the effect of a multimodal intervention on physical capacity, functional performance and quality of life in adult patients undergoing allogeneic SCT

    DEFF Research Database (Denmark)

    Jarden, M; Baadsgaard, M T; Hovgaard, D J

    2009-01-01

    The aim of this randomized controlled trial was to investigate the effect of a 4- to 6-week multimodal program of exercise, relaxation and psychoeducation on physical capacity, functional performance and quality of life (QOL) in allogeneic hematopoietic cell transplantation (allo-HSCT) adult reci...

  7. Raising HDL cholesterol in women

    Directory of Open Access Journals (Sweden)

    Danny J Eapen

    2009-11-01

    Full Text Available Danny J Eapen1, Girish L Kalra1, Luay Rifai1, Christina A Eapen2, Nadya Merchant1, Bobby V Khan11Emory University School of Medicine, Atlanta, GA, USA; 2University of South Florida School of Medicine, Tampa, FL, USAAbstract: High-density lipoprotein cholesterol (HDL-C concentration is essential in the determination of coronary heart disease (CHD risk in women. This is especially true in the postmenopausal state, where lipid profiles and CHD risk mimic that of age-matched men. Thus, interventions designed to reduce CHD risk by raising HDL-C levels may have particular significance during the transition to menopause. This review discusses HDL-C-raising therapies and the role of HDL in the primary prevention of CHD in women. Lifestyle-based interventions such as dietary change, aerobic exercise regimens, and smoking cessation are initial steps that are effective in raising HDL-C, and available data suggest women respond similarly to men with these interventions. When combined with pharmacotherapy, the effects of these lifestyle alterations are further amplified. Though studies demonstrating gender-specific differences in therapy are limited, niacin continues to be the most effective agent in raising HDL-C levels, especially when used in combination with fibrate or statin therapy. Emerging treatments such as HDL mimetic therapy show much promise in further raising HDL-C levels and improving cardiovascular outcomes.Keywords: high-density lipoprotein, HDL, women, cholesterol, heart disease

  8. Raising a beautiful swan: a phenomenological-hermeneutic interpretation of health professionals' experiences of participating in a mealtime intervention inspired by Protected Mealtimes.

    Science.gov (United States)

    Beck, Malene; Martinsen, Bente; Birkelund, Regner; Poulsen, Ingrid

    2017-12-01

    The British concept named Protected Mealtimes is known for stopping all non-acute activities and giving health professionals an opportunity to focus on providing patients their meals without being interrupted or disturbed. PM involves a cultural and behavioural change in the clinical setting, since health professionals are asked to adjust their daily routines. This study investigate how health professionals experience participating in a mealtime intervention inspired by the concept of Protected Mealtimes and intend to change mealtime practices. Three focus group interviews was conducted and included a total of 15 interdisciplinary staff members. After transcribing the interviews, the text material was analysed and interpreted in a three-methodological-step process inspired by the French philosopher Paul Ricoeur. In the analysis and interpretation three themes was identified. The themes were: (1) a chance towards a new and better scene; (2) a step towards a more neurologically friendly environment; and (3) a renewed view of the neurological patients. This study concludes that to the health professionals, the intervention was meaningful in several ways because it created structure during mealtimes and emphasized the importance of creating a calm environment for both patients and health professionals. The intervention was described as an eye-opening and well-regarded event in the field of neurological care that facilitated community, and reflections on nursing care and professional identity were expressed.

  9. Raising a beautiful swan: a phenomenological-hermeneutic interpretation of health professionals’ experiences of participating in a mealtime intervention inspired by Protected Mealtimes

    Science.gov (United States)

    Beck, Malene; Martinsen, Bente; Birkelund, Regner; Poulsen, Ingrid

    2017-01-01

    ABSTRACT The British concept named Protected Mealtimes is known for stopping all non-acute activities and giving health professionals an opportunity to focus on providing patients their meals without being interrupted or disturbed. PM involves a cultural and behavioural change in the clinical setting, since health professionals are asked to adjust their daily routines. This study investigate how health professionals experience participating in a mealtime intervention inspired by the concept of Protected Mealtimes and intend to change mealtime practices. Three focus group interviews was conducted and included a total of 15 interdisciplinary staff members. After transcribing the interviews, the text material was analysed and interpreted in a three-methodological-step process inspired by the French philosopher Paul Ricoeur. In the analysis and interpretation three themes was identified. The themes were: (1) a chance towards a new and better scene; (2) a step towards a more neurologically friendly environment; and (3) a renewed view of the neurological patients. This study concludes that to the health professionals, the intervention was meaningful in several ways because it created structure during mealtimes and emphasized the importance of creating a calm environment for both patients and health professionals. The intervention was described as an eye-opening and well-regarded event in the field of neurological care that facilitated community, and reflections on nursing care and professional identity were expressed. PMID:28835178

  10. Multimodal perception and simulation

    NARCIS (Netherlands)

    Werkhoven, P.J.; Erp, J.B.F. van

    2013-01-01

    This chapter discusses mechanisms of multimodal perception in the context of multimodal simulators and virtual worlds. We review some notable findings from psychophysical experiments with a focus on what we call touch-inclusive multimodal perception—that is, the sensory integration of the tactile sy

  11. Deal with price raise

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    The price raise in natural resources is inevitable. At present, building ceramic industry is facing the pressure brought by price raise in raw material. Marketing directors still hesitate whether the price of ceramic tiles should be raised. The crisis brought by social environment made the employees care-laden.

  12. The Intersection of Multimodality and Critical Perspective: Multimodality as Subversion

    Science.gov (United States)

    Huang, Shin-ying

    2015-01-01

    This study explores the relevance of multimodality to critical media literacy. It is based on the understanding that communication is intrinsically multimodal and multimodal communication is inherently social and ideological. By analysing two English-language learners' multimodal ensembles, the study reports on how multimodality contributes to a…

  13. Towards Multimodal Content Representation

    CERN Document Server

    Bunt, Harry

    2009-01-01

    Multimodal interfaces, combining the use of speech, graphics, gestures, and facial expressions in input and output, promise to provide new possibilities to deal with information in more effective and efficient ways, supporting for instance: - the understanding of possibly imprecise, partial or ambiguous multimodal input; - the generation of coordinated, cohesive, and coherent multimodal presentations; - the management of multimodal interaction (e.g., task completion, adapting the interface, error prevention) by representing and exploiting models of the user, the domain, the task, the interactive context, and the media (e.g. text, audio, video). The present document is intended to support the discussion on multimodal content representation, its possible objectives and basic constraints, and how the definition of a generic representation framework for multimodal content representation may be approached. It takes into account the results of the Dagstuhl workshop, in particular those of the informal working group...

  14. The effect of a multimodal intervention on treatment-related symptoms in patients undergoing hematopoietic stem cell transplantation: a randomized controlled trial

    DEFF Research Database (Denmark)

    Jarden, Mary; Nelausen, Knud; Hovgaard, Doris;

    2009-01-01

    in patients undergoing myeloablative allogeneic hematopoietic stem cell transplantation (allo-HSCT). Forty-two patients (18-65 years) were randomized either to an intervention or a control group. The intervention group received standard treatment and care, and a supervised four- to six-week structured...

  15. Multimodal Treatment of Chronic Pain.

    Science.gov (United States)

    Dale, Rebecca; Stacey, Brett

    2016-01-01

    Most patients with chronic pain receive multimodal treatment. There is scant literature to guide us, but when approaching combination pharmacotherapy, the practitioner and patient must weigh the benefits with the side effects; many medications have modest effect yet carry significant side effects that can be additive. Chronic pain often leads to depression, anxiety, and deconditioning, which are targets for treatment. Structured interdisciplinary programs are beneficial but costly. Interventions have their place in the treatment of chronic pain and should be a part of a multidisciplinary treatment plan. Further research is needed to validate many common combination treatments.

  16. Contrasting Systemic Functional Linguistic and Situated Literacies Approaches to Multimodality in Literacy and Writing Studies

    Science.gov (United States)

    Anderson, Kate T.

    2013-01-01

    Against the backdrop of proliferating research on multimodality in the fields of literacy and writing studies, this article considers the contributions of two prominent theoretical perspectives--Systemic Functional Linguistics (SFL) and Situated Literacies--and the methodological tensions they raise for the study of multimodality. To delineate…

  17. A Multimodal Behavioral Intervention to Impact Adherence and Risk Behavior among Perinatally and Behaviorally HIV-Infected Youth: Description, Delivery, and Receptivity of Adolescent Impact

    Science.gov (United States)

    Chandwani, Sulachni; Abramowitz, Susan; Koenig, Linda J.; Barnes, William; D'Angelo, Lawrence

    2011-01-01

    Secondary prevention programs are needed to help HIV-positive youth reduce risk behavior and improve adherence to HIV medications. This article provides an overview of Adolescent Impact, a secondary HIV prevention intervention, including its description, delivery, and receptivity among the two unique groups of participants. Adolescent Impact, a…

  18. Critical Analysis of Multimodal Discourse

    DEFF Research Database (Denmark)

    van Leeuwen, Theo

    2013-01-01

    This is an encyclopaedia article which defines the fields of critical discourse analysis and multimodality studies, argues that within critical discourse analysis more attention should be paid to multimodality, and within multimodality to critical analysis, and ends reviewing a few examples...... of recent work in the critical analysis of multimodal discourse....

  19. Raising the Bar (3)

    NARCIS (Netherlands)

    Elhorst, Paul; Abreu, M.; Amaral, P.; Bhattacharjee, A.; Corrado, L.; Fingleton, B.; Fuerst, F.; Garretsen, H.; Igliori, D.; Le Gallo, J.; McCann, P.; Monastiriotis, V.; Pryce, G.; Yu, J.

    2016-01-01

    This editorial summarizes and comments on the papers published in issue 11(3) so as to raise the bar in applied spatial economic research and highlight new trends. The first paper proposes spatial and a-spatial indicators to describe the networks of airline companies around the world. The second pap

  20. Raising the Bar (3)

    NARCIS (Netherlands)

    Elhorst, Paul; Abreu, M.; Amaral, P.; Bhattacharjee, A.; Corrado, L.; Fingleton, B.; Fuerst, F.; Garretsen, H.; Igliori, D.; Le Gallo, J.; McCann, P.; Monastiriotis, V.; Pryce, G.; Yu, J.

    2016-01-01

    This editorial summarizes and comments on the papers published in issue 11(3) so as to raise the bar in applied spatial economic research and highlight new trends. The first paper proposes spatial and a-spatial indicators to describe the networks of airline companies around the world. The second pap

  1. Raising the Bar (3)

    NARCIS (Netherlands)

    Elhorst, Paul; Abreu, M.; Amaral, P.; Bhattacharjee, A.; Corrado, L.; Fingleton, B.; Fuerst, F.; Garretsen, H.; Igliori, D.; Le Gallo, J.; McCann, P.; Monastiriotis, V.; Pryce, G.; Yu, J.

    This editorial summarizes and comments on the papers published in issue 11(3) so as to raise the bar in applied spatial economic research and highlight new trends. The first paper proposes spatial and a-spatial indicators to describe the networks of airline companies around the world. The second

  2. Raising the bar (2)

    NARCIS (Netherlands)

    Elhorst, P.; Abreu, M.; Amaral, P.; Bhattacharjee, A.; Corrado, L.; Fingleton, B.; Fuerst, F.; Garretsen, H.; Igliori, D.; Le Gallo, J.; McCann, P.; Monastiriotis, V.; Pryce, G.; Yu, J.

    2016-01-01

    In this editorial we summarise and comment on the papers published in issue 11.2 so as to raise the bar in applied spatial economic research and highlight new trends. The first paper analyses which regions in Europe were resilient to the great Recession and which ones were not. The second and the th

  3. Multimodal Resources in Transnational Adoption

    DEFF Research Database (Denmark)

    Raudaskoski, Pirkko Liisa

    The paper discusses an empirical analysis which highlights the multimodal nature of identity construction. A documentary on transnational adoption provides real life incidents as research material. The incidents involve (or from them emerge) various kinds of multimodal resources and participants...

  4. Multimodal Resources in Transnational Adoption

    DEFF Research Database (Denmark)

    Raudaskoski, Pirkko Liisa

    The paper discusses an empirical analysis which highlights the multimodal nature of identity construction. A documentary on transnational adoption provides real life incidents as research material. The incidents involve (or from them emerge) various kinds of multimodal resources and participants...

  5. Multimodal sequence learning.

    Science.gov (United States)

    Kemény, Ferenc; Meier, Beat

    2016-02-01

    While sequence learning research models complex phenomena, previous studies have mostly focused on unimodal sequences. The goal of the current experiment is to put implicit sequence learning into a multimodal context: to test whether it can operate across different modalities. We used the Task Sequence Learning paradigm to test whether sequence learning varies across modalities, and whether participants are able to learn multimodal sequences. Our results show that implicit sequence learning is very similar regardless of the source modality. However, the presence of correlated task and response sequences was required for learning to take place. The experiment provides new evidence for implicit sequence learning of abstract conceptual representations. In general, the results suggest that correlated sequences are necessary for implicit sequence learning to occur. Moreover, they show that elements from different modalities can be automatically integrated into one unitary multimodal sequence.

  6. Multimodal Processes Rescheduling

    DEFF Research Database (Denmark)

    Bocewicz, Grzegorz; Banaszak, Zbigniew A.; Nielsen, Peter

    2013-01-01

    Cyclic scheduling problems concerning multimodal processes are usually observed in FMSs producing multi-type parts where the Automated Guided Vehicles System (AGVS) plays a role of a material handling system. Schedulability analysis of concurrently flowing cyclic processes (SCCP) exe-cuted in the......Cyclic scheduling problems concerning multimodal processes are usually observed in FMSs producing multi-type parts where the Automated Guided Vehicles System (AGVS) plays a role of a material handling system. Schedulability analysis of concurrently flowing cyclic processes (SCCP) exe...

  7. Multimode geodesic branching components

    Science.gov (United States)

    Schulz, D.; Voges, E.

    1983-01-01

    Geodesic branching components are investigated for multimode guided wave optics. Geodesic structures with particular properties, e.g. focussing star couplers, are derived by a synthesis technique based on a theorem of Toraldo di Francia. Experimentally, the geodesic surfaces are printed on acrylic glass and are spin-coated with organic film waveguides.

  8. Multimodal emergens via musik

    DEFF Research Database (Denmark)

    Bonde, Anders

    2010-01-01

    I denne artikel præsenteres og argumenteres for en værkanalytisk indfaldsvinkel i forhold til det at undersøge multimodal betydningsdannelse i audiovisuelle medieprodukter såsom reklamefilm og dokumentarfilm, hvor flere forskellige modaliteter eller semiotiske ressourcer samvirker. Som teoretisk...

  9. Multimodal Strategies of Theorization

    DEFF Research Database (Denmark)

    Cartel, Melodie; Colombero, Sylvain; Boxenbaum, Eva

    This paper examines the role of multimodal strategies in processes of theorization. Empirically, we investigate the theorization process of a highly disruptive innovation in the history of architecture: reinforced concrete. Relying on archival data from a dominant French architectural journal fro...

  10. Multimodal Strategies of Theorization

    DEFF Research Database (Denmark)

    Cartel, Melodie; Colombero, Sylvain; Boxenbaum, Eva

    This paper examines the role of multimodal strategies in processes of theorization. Empirically, we investigate the theorization process of a highly disruptive innovation in the history of architecture: reinforced concrete. Relying on archival data from a dominant French architectural journal from...... with well-known rhetorical strategies and develop a process model of theorization....

  11. Modeling Multimodal Stratification

    DEFF Research Database (Denmark)

    Boeriis, Morten

    2017-01-01

    This article discusses one of the core axioms of social semiotic theory, namely stratification, in the light of developments in multimodality in recent years. The discussion takes a point of departure in the approaches to stratification taken by Hjelmslev, Halliday, and Kress and van Leeuwen...

  12. Pilot study of a multimodal intervention

    DEFF Research Database (Denmark)

    Jarden, Mary Ellen; Hovgaard, Doris; Boesen, Ellen

    2007-01-01

    Substantial physical and functional deconditioning and diminished psychological wellbeing are all potential adverse effects of allogeneic stem cell transplantation (allo-HSCT). The aim of this study was to evaluate the feasibility, safety and benefits (physical and functional capacity) of a 4-6 w...

  13. A multimodal approach to improving human papillomavirus vaccination in a community pharmacy setting

    National Research Council Canada - National Science Library

    Hohmeier, Kenneth C; Randolph, Donna D; Smith, Cindy Taliaferro; Hagemann, Tracy M

    2016-01-01

    ...: The primary objective is to describe and report on the impact of a multimodal series of pharmacist-led educational interventions on human papillomavirus vaccination rates in a community pharmacy setting...

  14. Innovative pharmaceutical interventions in cardiovascular disease: Focusing on the contribution of non-HDL-C/LDL-C-lowering versus HDL-C-raisingA systematic review and meta-analysis of relevant preclinical studies and clinical trials

    NARCIS (Netherlands)

    Kühnast, S.; Fiocco, M.; Hoorn, J.W.A. van der; Princen, H.M.G.; Jukema, J.W.

    2015-01-01

    Non-HDL-cholesterol is well recognised as a primary causal risk factor in cardiovascular disease. However, despite consistent epidemiological evidence for an inverse association between HDL-C and coronary heart disease, clinical trials aimed at raising HDL-C (AIM-HIGH, HPS2-THRIVE, dal-OUTCOMES) fai

  15. Raising the bar.

    Science.gov (United States)

    Barsi, Eileen

    2006-01-01

    In July 2002, Catholic Health West (CHW) established a policy that called for a uniform measurement and improvement of community benefit work that would preserve the flexibility of each facility to respond to the needs of its particular community. CHW's 40 member hospitals were asked to submit two community benefit goals that would be monitored for outcomes over the subsequent two years. The system's corporate office helped staff members at each facility determine the baseline for performance improvement, set realistic goals, establish measurable outcomes, and develop an effective intervention strategy for the health issue addressed. The goals, set forth in CHW's Community Benefit Policy and its Standards for Mission Integration, were included as part of each hospital president's annual performance evaluation. At the end of the third year of CHW's effort to apply greater scientific rigor to community benefit programming, more than 85 percent of its hospitals met or exceeded their stated goals.

  16. Multimodal eye recognition

    Science.gov (United States)

    Zhou, Zhi; Du, Yingzi; Thomas, N. L.; Delp, Edward J., III

    2010-04-01

    Multimodal biometrics use more than one means of biometric identification to achieve higher recognition accuracy, since sometimes a unimodal biometric is not good enough used to do identification and classification. In this paper, we proposed a multimodal eye recognition system, which can obtain both iris and sclera patterns from one color eye image. Gabor filter and 1-D Log-Gabor filter algorithms have been applied as the iris recognition algorithms. In sclera recognition, we introduced automatic sclera segmentation, sclera pattern enhancement, sclera pattern template generation, and sclera pattern matching. We applied kernelbased matching score fusion to improve the performance of the eye recognition system. The experimental results show that the proposed eye recognition method can achieve better performance compared to unimodal biometric identification, and the accuracy of our proposed kernel-based matching score fusion method is higher than two classic linear matching score fusion methods: Principal Component Analysis (PCA) and Linear Discriminant Analysis (LDA).

  17. Programmable Multimode Quantum Networks

    CERN Document Server

    Armstrong, Seiji; Janousek, Jiri; Hage, Boris; Treps, Nicolas; Lam, Ping Koy; Bachor, Hans-A

    2012-01-01

    Entanglement between large numbers of quantum modes is the quintessential resource for quantum information processing and future applications such as the quantum internet. Conventionally the generation of multimode entanglement in optics requires complex layouts of beam-splitters and phase shifters in order to transform the input modes in to entangled modes. These networks need substantial modification for every new set of entangled modes to be generated. Further, the complexity grows rapidly with the number of entangled modes as the number of detectors, phase locks and optical components needs to be increased. Here we report on the highly efficient and versatile generation of various multimode entangled states within one optical beam. By defining our modes to be combinations of different spatial regions of the beam, we may use just one pair of multi-pixel detectors and one local oscillator to measure an orthogonal set of modes. The transformation of this set into a desired set of entangled modes is calculate...

  18. "Rap Universal": Using Multimodal Media Production to Develop ICT Literacies

    Science.gov (United States)

    Turner, K. C. Nat

    2011-01-01

    Through a multimodal media production literacy intervention in an extended-day program, culturally and linguistically diverse youth developed valuable information and communication technology literacies, including: (1) Specific how-to skills useful in future academic, professional, social, and civic contexts; (2) Abilities to critically interpret…

  19. "Rap Universal": Using Multimodal Media Production to Develop ICT Literacies

    Science.gov (United States)

    Turner, K. C. Nat

    2011-01-01

    Through a multimodal media production literacy intervention in an extended-day program, culturally and linguistically diverse youth developed valuable information and communication technology literacies, including: (1) Specific how-to skills useful in future academic, professional, social, and civic contexts; (2) Abilities to critically interpret…

  20. Raising the continental crust

    Science.gov (United States)

    Campbell, Ian H.; Davies, D. Rhodri

    2017-02-01

    that the removal of 40 km of the amphibole-garnet-pyroxenite root would have raised the average level of the continental crust by ∼3 km. The emergence of the continental crust was an essential precursor to the rise of oxygen, which started some 200 Myr later.

  1. Multimodal neuromonitoring in pediatric cardiac anesthesia

    Directory of Open Access Journals (Sweden)

    Alexander J. C. Mittnacht

    2014-01-01

    Full Text Available Despite significant improvements in overall outcome, neurological injury remains a feared complication following pediatric congenital heart surgery (CHS. Only if adverse events are detected early enough, can effective actions be initiated preventing potentially serious injury. The multifactorial etiology of neurological injury in CHS patients makes it unlikely that one single monitoring modality will be effective in capturing all possible threats. Improving current and developing new technologies and combining them according to the concept of multimodal monitoring may allow for early detection and possible intervention with the goal to further improve neurological outcome in children undergoing CHS.

  2. Multimodality Imaging of Heart Valve Disease

    Energy Technology Data Exchange (ETDEWEB)

    Rajani, Ronak, E-mail: Dr.R.Rajani@gmail.com [Department of Cardiology, St. Thomas’ Hospital, London (United Kingdom); Khattar, Rajdeep [Department of Cardiology, Royal Brompton Hospital, London (United Kingdom); Chiribiri, Amedeo [Divisions of Imaging Sciences, The Rayne Institute, St. Thomas' Hospital, London (United Kingdom); Victor, Kelly; Chambers, John [Department of Cardiology, St. Thomas’ Hospital, London (United Kingdom)

    2014-09-15

    Unidentified heart valve disease is associated with a significant morbidity and mortality. It has therefore become important to accurately identify, assess and monitor patients with this condition in order that appropriate and timely intervention can occur. Although echocardiography has emerged as the predominant imaging modality for this purpose, recent advances in cardiac magnetic resonance and cardiac computed tomography indicate that they may have an important contribution to make. The current review describes the assessment of regurgitant and stenotic heart valves by multimodality imaging (echocardiography, cardiac computed tomography and cardiac magnetic resonance) and discusses their relative strengths and weaknesses.

  3. Multimodality Imaging of Heart Valve Disease

    Directory of Open Access Journals (Sweden)

    Ronak Rajani

    2014-09-01

    Full Text Available Unidentified heart valve disease is associated with a significant morbidity and mortality. It has therefore become important to accurately identify, assess and monitor patients with this condition in order that appropriate and timely intervention can occur. Although echocardiography has emerged as the predominant imaging modality for this purpose, recent advances in cardiac magnetic resonance and cardiac computed tomography indicate that they may have an important contribution to make. The current review describes the assessment of regurgitant and stenotic heart valves by multimodality imaging (echocardiography, cardiac computed tomography and cardiac magnetic resonance and discusses their relative strengths and weaknesses.

  4. Innovative pharmaceutical interventions in cardiovascular disease: Focusing on the contribution of non-HDL-C/LDL-C-lowering versus HDL-C-raising: A systematic review and meta-analysis of relevant preclinical studies and clinical trials.

    Science.gov (United States)

    Kühnast, Susan; Fiocco, Marta; van der Hoorn, José W A; Princen, Hans M G; Jukema, J Wouter

    2015-09-15

    Non-HDL-cholesterol is well recognised as a primary causal risk factor in cardiovascular disease. However, despite consistent epidemiological evidence for an inverse association between HDL-C and coronary heart disease, clinical trials aimed at raising HDL-C (AIM-HIGH, HPS2-THRIVE, dal-OUTCOMES) failed to meet their primary goals. This systematic review and meta-analysis investigated the effects of established and novel treatment strategies, specifically targeting HDL, on inhibition of atherosclerosis in cholesteryl ester transfer protein-expressing animals, and the prevention of clinical events in randomised controlled trials. Linear regression analyses using data from preclinical studies revealed associations for TC and non-HDL-C and lesion area (R(2)=0.258, P=0.045; R(2)=0.760, PHDL-C (R(2)=0.030, P=0.556). In clinical trials, non-fatal myocardial infarction risk was significantly less in the treatment group with pooled odd ratios of 0.87 [0.81; 0.94] for all trials and 0.85 [0.78; 0.93] after excluding some trials due to off-target adverse events, whereas all-cause mortality was not affected (OR 1.05 [0.99-1.10]). Meta-regression analyses revealed a trend towards an association between between-group differences in absolute change from baseline in LDL-C and non-fatal myocardial infarction (P=0.066), whereas no correlation was found for HDL-C (P=0.955). We conclude that the protective role of lowering LDL-C and non-HDL-C is well-established. The contribution of raising HDL-C on inhibition of atherosclerosis and the prevention of cardiovascular disease remains undefined and may be dependent on the mode of action of HDL-C-modification. Nonetheless, treatment strategies aimed at improving HDL function and raising apolipoprotein A-I may be worth exploring.

  5. ELT and Consciousness-Raising

    Science.gov (United States)

    Al-Jardani, Khalid Salim Saif

    2012-01-01

    The paper highlights the concept of consciousness-raising. It relates it to different aspects of ELT such as explicit teaching, language awareness, language acquisition and practice. How these terms are related to the concept of consciousness-raising within the English Language teaching. Its main aim is to help learners to notice for themselves…

  6. Patterns of International Capital Raisings

    OpenAIRE

    Gozzi, Juan Carlos; Levine, Ross; Schmukler, Sergio L.

    2008-01-01

    This paper documents several new patterns associated with firms issuing securities in foreign markets that motivate the need for and help guide future research. Besides noting that these international capital raisings grew almost four-fold from 1991 to 2005, accounting for 35 percent of all capital raised through security issuances, the paper has three main findings. First, a large and gro...

  7. Simplified Multimodal Biometric Identification

    Directory of Open Access Journals (Sweden)

    Abhijit Shete

    2014-03-01

    Full Text Available Multibiometric systems are expected to be more reliable than unimodal biometric systems for personal identification due to the presence of multiple, fairly independent pieces of evidence e.g. Unique Identification Project "Aadhaar" of Government of India. In this paper, we present a novel wavelet based technique to perform fusion at the feature level and score level by considering two biometric modalities, face and fingerprint. The results indicate that the proposed technique can lead to substantial improvement in multimodal matching performance. The proposed technique is simple because of no preprocessing of raw biometric traits as well as no feature and score normalization.

  8. Multimodality Image Fusion-Guided Procedures: Technique, Accuracy, and Applications

    Energy Technology Data Exchange (ETDEWEB)

    Abi-Jaoudeh, Nadine, E-mail: naj@mail.nih.gov [National Institutes of Health, Radiology and Imaging Sciences (United States); Kruecker, Jochen, E-mail: jochen.kruecker@philips.com [Philips Research North America (United States); Kadoury, Samuel, E-mail: samuel.kadoury@polymtl.ca [Ecole Polytechnique de Montreal, Department of Computer and Software Engineering, Institute of Biomedical Engineering (Canada); Kobeiter, Hicham, E-mail: hicham.kobeiter@gmail.com [CHU Henri Mondor, UPEC, Departments of Radiology and d' imagrie medicale (France); Venkatesan, Aradhana M., E-mail: VenkatesanA@cc.nih.gov; Levy, Elliot, E-mail: levyeb@cc.nih.gov; Wood, Bradford J., E-mail: bwood@cc.nih.gov [National Institutes of Health, Radiology and Imaging Sciences (United States)

    2012-10-15

    Personalized therapies play an increasingly critical role in cancer care: Image guidance with multimodality image fusion facilitates the targeting of specific tissue for tissue characterization and plays a role in drug discovery and optimization of tailored therapies. Positron-emission tomography (PET), magnetic resonance imaging (MRI), and contrast-enhanced computed tomography (CT) may offer additional information not otherwise available to the operator during minimally invasive image-guided procedures, such as biopsy and ablation. With use of multimodality image fusion for image-guided interventions, navigation with advanced modalities does not require the physical presence of the PET, MRI, or CT imaging system. Several commercially available methods of image-fusion and device navigation are reviewed along with an explanation of common tracking hardware and software. An overview of current clinical applications for multimodality navigation is provided.

  9. Raising Awareness in Science Education for Women (RAISE-W)

    Science.gov (United States)

    Faherty, Jacqueline K.; Holford, M.

    2014-01-01

    Raising Awareness in Science Education for Women (RAISE-W) is a 501c non profit corporation whose mission is to aid in increasing and retaining the number of women - especially underrepresented females - engaged in scientific teaching and research. Initiated by a Protein Chemist and an Astronomer, our ultimate goal has been to develop informational tools and create innovative outreach programs for women across all STEM fields. At present RAISE-W is recruiting women at the undergraduate, graduate, and early career stages to participate in a unique, 1-year, executive coaching program modeled after those used in the business sector.

  10. Multimodality of Learning Through Anchored Instruction

    Science.gov (United States)

    Love, Mary Susan

    2004-01-01

    Multimodality of learning results from the intertextual relationship between multimodal design and other meaning-making modes. Meaning making is becoming more multimodal because language is continually reshaped by new forms of communication media. This article examines anchored instruction from a multimodal perspective. The first section includes…

  11. Learning multimodal latent attributes.

    Science.gov (United States)

    Fu, Yanwei; Hospedales, Timothy M; Xiang, Tao; Gong, Shaogang

    2014-02-01

    The rapid development of social media sharing has created a huge demand for automatic media classification and annotation techniques. Attribute learning has emerged as a promising paradigm for bridging the semantic gap and addressing data sparsity via transferring attribute knowledge in object recognition and relatively simple action classification. In this paper, we address the task of attribute learning for understanding multimedia data with sparse and incomplete labels. In particular, we focus on videos of social group activities, which are particularly challenging and topical examples of this task because of their multimodal content and complex and unstructured nature relative to the density of annotations. To solve this problem, we 1) introduce a concept of semilatent attribute space, expressing user-defined and latent attributes in a unified framework, and 2) propose a novel scalable probabilistic topic model for learning multimodal semilatent attributes, which dramatically reduces requirements for an exhaustive accurate attribute ontology and expensive annotation effort. We show that our framework is able to exploit latent attributes to outperform contemporary approaches for addressing a variety of realistic multimedia sparse data learning tasks including: multitask learning, learning with label noise, N-shot transfer learning, and importantly zero-shot learning.

  12. Multimode bolometer development for the PIXIE instrument

    CERN Document Server

    Nagler, Peter C; Denis, Kevin L; Devasia, Archana M; Fixsen, Dale J; Kogut, Alan J; Manos, George; Porter, Scott; Stevenson, Thomas R

    2016-01-01

    The Primordial Inflation Explorer (PIXIE) is an Explorer-class mission concept designed to measure the polarization and absolute intensity of the cosmic microwave background. In the following, we report on the design, fabrication, and performance of the multimode polarization-sensitive bolometers for PIXIE, which are based on silicon thermistors. In particular we focus on several recent advances in the detector design, including the implementation of a scheme to greatly raise the frequencies of the internal vibrational modes of the large-area, low-mass optical absorber structure consisting of a grid of micromachined, ion-implanted silicon wires. With $\\sim30$ times the absorbing area of the spider-web bolometers used by Planck, the tensioning scheme enables the PIXIE bolometers to be robust in the vibrational and acoustic environment at launch of the space mission. More generally, it could be used to reduce microphonic sensitivity in other types of low temperature detectors. We also report on the performance ...

  13. Raising Public Awareness of Mathematics

    CERN Document Server

    Behrends, Ehrhard; Rodrigues, José Francisco

    2012-01-01

    This collective book aims to encourage and inspire actions directed towards raising public awareness of the importance of mathematical sciences for our contemporary society in a cultural and historical perspective. Mathematical societies, in Europe and around the world, can find ideas, blueprints and suggestions for activities - including concerted actions with other international organizations - directed towards raising public awareness of science, technology and other fields where mathematics plays a strong role. The material is divided into four parts: * National experiences * Exhibitions /

  14. Multimodal responsive action

    DEFF Research Database (Denmark)

    Oshima, Sae

    While a first pair part projects a limited set of second pair parts to be provided next, responders select different types and formats for second pair parts to assemble activities (Schegloff 2007). Accordingly, various ways of shaping responses have been extensively studied (e.g. Pomerantz 1984......; Raymond 2003; Schegloff and Lerner 2009), including those with multimodal actions (e.g. Olsher 2004; Fasulo & Monzoni 2009). Some responsive actions can also be completed with bodily behavior alone, such as: when an agreement display is achieved by using only nonvocal actions (Jarmon 1996), when...... both verbal and body-behavioral elements. This paper explores one such situation in professional-client interaction, during the event of evaluating a service outcome in a haircutting session. In general, a haircutting session is brought to its closure through the service-assessment sequence, in which...

  15. Robustness of multimodal processes itineraries

    DEFF Research Database (Denmark)

    Bocewicz, G.; Banaszak, Z.; Nielsen, Izabela Ewa

    2013-01-01

    This paper concerns multimodal transport systems (MTS) represented by a supernetworks in which several unimodal networks are connected by transfer links and focuses on the scheduling problems encountered in these systems. Assuming unimodal networks are modeled as cyclic lines, i.e. the routes det...... of multimodal processes driven itinerary planning problem is our main contribution. Illustrative examples providing alternative itineraries in some cases of MTS malfunction are presented....

  16. Multimodal Imaging in Hereditary Retinal Diseases

    Directory of Open Access Journals (Sweden)

    Francesco Pichi

    2013-01-01

    Full Text Available Introduction. In this retrospective study we evaluated the multimodal visualization of retinal genetic diseases to better understand their natural course. Material and Methods. We reviewed the charts of 70 consecutive patients with different genetic retinal pathologies who had previously undergone multimodal imaging analyses. Genomic DNA was extracted from peripheral blood and genotyped at the known locus for the different diseases. Results. The medical records of 3 families of a 4-generation pedigree affected by North Carolina macular dystrophy were reviewed. A total of 8 patients with Stargardt disease were evaluated for their two main defining clinical characteristics, yellow subretinal flecks and central atrophy. Nine male patients with a previous diagnosis of choroideremia and eleven female carriers were evaluated. Fourteen patients with Best vitelliform macular dystrophy and 6 family members with autosomal recessive bestrophinopathy were included. Seven patients with enhanced s-cone syndrome were ascertained. Lastly, we included 3 unrelated patients with fundus albipunctatus. Conclusions. In hereditary retinal diseases, clinical examination is often not sufficient for evaluating the patient’s condition. Retinal imaging then becomes important in making the diagnosis, in monitoring the progression of disease, and as a surrogate outcome measure of the efficacy of an intervention.

  17. A multimodal behavioral approach to performance anxiety.

    Science.gov (United States)

    Lazarus, Arnold A; Abramovitz, Arnold

    2004-08-01

    Cognitive-behavior therapy (CBT) stresses a trimodal assessment framework (affect, behavior, and cognition [ABC]), whereas the multimodal approach assesses seven discrete but interactive components--behavior, affect, sensation, imagery, cognition, interpersonal relationships, and drugs/biological factors (BASIC I.D.). Only complex or recalcitrant cases call for the entire seven-pronged range of multimodal interventions. Various case illustrations are offered as examples of how a clinician might proceed when confronted with problems that fall under the general heading of performance anxiety. The main example is of a violinist in a symphony orchestra whose career was in serious jeopardy because of his extreme fear of performing in public. He responded very well to a focused but elaborate desensitization procedure. The hierarchy that was eventually constructed contained many dimensions and subhierarchies featuring interlocking elements that evoked his anxiety. In addition to imaginal systematic desensitization, sessions were devoted to his actual performance in the clinical setting. As a homework assignment, he found it helpful to listen to a long-playing record of an actual rehearsal and to play along with the world-renowned orchestra and conductor. The subsequent disclosure by the client of an important sexual problem was dealt with concomitantly by using a fairly conventional counseling procedure. Therapy required 20 sessions over a 3-month period.

  18. Vector-Resonance-Multimode Instability

    Science.gov (United States)

    Sergeyev, S. V.; Kbashi, H.; Tarasov, N.; Loiko, Yu.; Kolpakov, S. A.

    2017-01-01

    The modulation and multimode instabilities are the main mechanisms which drive spontaneous spatial and temporal pattern formation in a vast number of nonlinear systems ranging from biology to laser physics. Using an Er-doped fiber laser as a test bed, here for the first time we demonstrate both experimentally and theoretically a new type of a low-threshold vector-resonance-multimode instability which inherits features of multimode and modulation instabilities. The same as for the multimode instability, a large number of longitudinal modes can be excited without mode synchronization. To enable modulation instability, we modulate the state of polarization of the lasing signal with the period of the beat length by an adjustment of the in-cavity birefringence and the state of polarization of the pump wave. As a result, we show the regime's tunability from complex oscillatory to periodic with longitudinal mode synchronization in the case of resonance matching between the beat and cavity lengths. Apart from the interest in laser physics for unlocking the tunability and stability of dynamic regimes, the proposed mechanism of the vector-resonance-multimode instability can be of fundamental interest for the nonlinear dynamics of various distributed systems.

  19. [Multimodal pain therapy in Germany: structure and quality].

    Science.gov (United States)

    Casser, Hans-Raimund; Nagel, Bernd

    2016-01-01

    Multimodal Pain Management is a comprehensive treatment of complex chronic pain syndromes. In addition to medical therapy various other specialized therapeutical interventions based on the biopsychosocial model of pain origin and chronic pain development are added.Medical indications are given for patients with chronic pain syndromes, but also if there is an elevated risk of chronic pain in the early stadium of the disease and aiming at delaying the process of chronification. Multimodal pain management has been included in the official catalogue of the recognized medical procedure for day clinic units as well as for inpatients pain management. As there is still a lack of clarity and of consistency about the implementation of multimodal pain management the ad-hoc-Kommission on multimodal interdisciplinary pain management of the German Pain Society has proposed a position paper that has been worked out in a multilevel and interdisciplinary consensus process. Moreover a basic tool for documentation and quality management of pain therapy was developed by the German Pain Society (KEDOQ-Schmerz) as the data basis for nationwide, cross-sectional and independent scientific research in health services in Germany. In future KEDOQ-Schmerz will also used as a method for external quality management in chronic pain therapy in Germany.

  20. Managing hyperemesis gravidarum: a multimodal challenge

    Directory of Open Access Journals (Sweden)

    Mylonas I

    2010-07-01

    Full Text Available Abstract Up to 90% of pregnant women experience nausea and vomiting. When prolonged or severe, this is known as hyperemesis gravidarum (HG, which can, in individual cases, be life threatening. In this article the aetiology, diagnosis and treatment strategies will be presented based on a selective literature review. Treatment strategies range from outpatient dietary advice and antiemetic drugs to hospitalization and intravenous (IV fluid replacement in persistent or severe cases. Alternative methods, such as acupuncture, are not yet evidence based but sometimes have a therapeutic effect. In most cases, the condition is self limiting and subsides by around 20 weeks gestation. More severe forms require medical intervention once other organic causes of nausea and vomiting have been excluded. In addition, a psychosomatic approach is often helpful. In view of its potential complexity, general practitioners and obstetricians should be well informed about HG and therapy should be multimodal.

  1. Managing hyperemesis gravidarum: a multimodal challenge.

    Science.gov (United States)

    Jueckstock, J K; Kaestner, R; Mylonas, I

    2010-07-15

    Up to 90% of pregnant women experience nausea and vomiting. When prolonged or severe, this is known as hyperemesis gravidarum (HG), which can, in individual cases, be life threatening. In this article the aetiology, diagnosis and treatment strategies will be presented based on a selective literature review. Treatment strategies range from outpatient dietary advice and antiemetic drugs to hospitalization and intravenous (IV) fluid replacement in persistent or severe cases. Alternative methods, such as acupuncture, are not yet evidence based but sometimes have a therapeutic effect.In most cases, the condition is self limiting and subsides by around 20 weeks gestation. More severe forms require medical intervention once other organic causes of nausea and vomiting have been excluded. In addition, a psychosomatic approach is often helpful.In view of its potential complexity, general practitioners and obstetricians should be well informed about HG and therapy should be multimodal.

  2. The Multimodal Possibilities of Online Instructions

    DEFF Research Database (Denmark)

    Kampf, Constance

    2006-01-01

    The WWW simplifies the process of delivering online instructions through multimodal channels because of the ease of use for voice, video, pictures, and text modes of communication built into it.  Given that instructions are being produced in multimodal format for the WWW, how do multi-modal analy...

  3. Multimodal Friction Ignition Tester

    Science.gov (United States)

    Davis, Eddie; Howard, Bill; Herald, Stephen

    2009-01-01

    The multimodal friction ignition tester (MFIT) is a testbed for experiments on the thermal and mechanical effects of friction on material specimens in pressurized, oxygen-rich atmospheres. In simplest terms, a test involves recording sensory data while rubbing two specimens against each other at a controlled normal force, with either a random stroke or a sinusoidal stroke having controlled amplitude and frequency. The term multimodal in the full name of the apparatus refers to a capability for imposing any combination of widely ranging values of the atmospheric pressure, atmospheric oxygen content, stroke length, stroke frequency, and normal force. The MFIT was designed especially for studying the tendency toward heating and combustion of nonmetallic composite materials and the fretting of metals subjected to dynamic (vibrational) friction forces in the presence of liquid oxygen or pressurized gaseous oxygen test conditions approximating conditions expected to be encountered in proposed composite material oxygen tanks aboard aircraft and spacecraft in flight. The MFIT includes a stainless-steel pressure vessel capable of retaining the required test atmosphere. Mounted atop the vessel is a pneumatic cylinder containing a piston for exerting the specified normal force between the two specimens. Through a shaft seal, the piston shaft extends downward into the vessel. One of the specimens is mounted on a block, denoted the pressure block, at the lower end of the piston shaft. This specimen is pressed down against the other specimen, which is mounted in a recess in another block, denoted the slip block, that can be moved horizontally but not vertically. The slip block is driven in reciprocating horizontal motion by an electrodynamic vibration exciter outside the pressure vessel. The armature of the electrodynamic exciter is connected to the slip block via a horizontal shaft that extends into the pressure vessel via a second shaft seal. The reciprocating horizontal

  4. Multimodal pain management and arthrofibrosis.

    Science.gov (United States)

    Lavernia, Carlos; Cardona, Diego; Rossi, Mark D; Lee, David

    2008-09-01

    Pain control after arthroplasty has been a key concern for orthopedic surgeons. After total knee arthroplasty (TKA), a small group of patients developed a painful joint with suboptimal range of motion. Manipulation under anesthesia increases flexion and extension while decreasing pain in most cases. The objective of the present investigation is to asses the effect of a multimodal pain management protocol on arthrofibrosis in primary TKAs. A cohort of 1136 patients who underwent primary TKA was selected. Patients were divided into 2 groups: group A had 778 procedures performed using a traditional approach to pain control; group B included 358 procedures that received multimodal pain management. Group A had an incidence of manipulation of 4.75% (37/778). Of 357 patients, 8 required manipulation in group B, which is an incidence of 2.24%. We recommend that orthopedic surgeons consider using a multimodal pain management protocol for TKA.

  5. Romania's flag raised at CERN

    CERN Multimedia

    Corinne Pralavorio

    2016-01-01

    A ceremony was held for the raising of the Romanian flag alongside the flags of CERN’s 21 other Member States.   The Romanian flag is raised alongside the flags of CERN’s other Member States, in the presence of the Romanian President, CERN’s Director-General, the President of the CERN Council and a large Romanian delegation. (Image: Maximilien Brice/ Sophia Bennett/CERN) On Monday, 5 September, the Romanian flag was raised in front of CERN for the first time, marking the country’s accession to Membership of the Organization. The blue, yellow and red flag joined those of the other 21 Member States of CERN in a ceremony attended by the President of Romania, Klaus Iohannis, the Romanian Minister for Education and Scientific Research, Mircea Dumitru, and several other members of the President’s office, the government and academia in Romania. The country officially became a CERN Member State on 17 July 2016, after 25 years of collaboration between the...

  6. Raising children in America: Korean parents' experiences.

    Science.gov (United States)

    Choi, H; Dancy, B L; Lee, J

    2013-08-01

    This qualitative description study was designed to describe Korean American parents' perceptions of challenges and difficulties they encounter while raising their children in the USA. A convenience sampling of 21 parents of adolescents aged 11-14 years recruited from the Midwest Korean American community participated in the study. Data were collected using in-depth, face-to-face interviews, which took place in agreed-upon, convenient locations. All interviews were audiotaped and transcribed in Korean and the transcripts were translated into English. Qualitative content analysis revealed that the main stresses that parents encountered while raising their children in the USA were inability to advocate for children, feeling uneasy and insecure about incompatible American culture, ambivalence towards children's ethnic identities, and feeling alienated. In relation to these stresses, parents often felt inadequate, ashamed, guilty, regretful and powerless. The findings demonstrated the importance of understanding parents' feelings that are deeply embedded in the conflicted parent-child relationships and their perceptions of being parents in the USA. The present study highlights the need for and importance of providing intervention programmes for parents, particularly programmes that would empower parents, strengthen parent-child relationships and address ways to integrate two very different cultures while upholding ethnic identity and pride.

  7. Switchable lasing in multimode microcavities

    DEFF Research Database (Denmark)

    Zhukovsky, Sergei V.; Chigrin, Dmitry N.; Lavrinenko, Andrei

    2007-01-01

    We propose the new concept of a switchable multimode microlaser. As a generic, realistic model of a multimode microresonator a system of two coupled defects in a two-dimensional photonic crystal is considered. We demonstrate theoretically that lasing of the cavity into one selected resonator mode...... can be caused by injecting an appropriate optical pulse at the onset of laser action (injection seeding). Temporal mode-to-mode switching by reseeding the cavity after a short cooldown period is demonstrated by direct numerical solution. A qualitative analytical explanation of the mode switching...

  8. Multimodal Aspects of Corporate Social Responsibility Communication

    Directory of Open Access Journals (Sweden)

    Carmen Daniela Maier

    2014-12-01

    Full Text Available This article addresses how the multimodal persuasive strategies of corporate social responsibility communication can highlight a company’s commitment to gender empowerment and environmental protection while advertising simultaneously its products. Drawing on an interdisciplinary methodological framework related to CSR communication, multimodal discourse analysis and gender theory, the article proposes a multimodal analysis model through which it is possible to map and explain the multimodal persuasive strategies employed by Coca-Cola company in their community-related films. By examining the semiotic modes’ interconnectivity and functional differentiation, this analytical endeavour expands the existing research work as the usual textual focus is extended to a multimodal one.

  9. Alternatives for Raising Living Standards

    OpenAIRE

    William Scarth

    1999-01-01

    Given the fundamental goal of raising living standards in the longer term, much attention is paid to policies that can be expected to increase national saving. With respect to private saving, the mechanism is tax reform - a lower tax on interest income. The basic problem with this approach is that, for a given size of government, some other tax or transfer must be adjusted to finance the interest-tax cut. This fact may make it difficult to ensure that those with only labour income will share ...

  10. The Sixth CHIME Raises Curtain

    Institute of Scientific and Technical Information of China (English)

    Bai Yifeng; Liu Jinliang

    2006-01-01

    @@ The Sixth China Harbin Interna tional Manufacturer Expo (CHIME), co-organized by China Council for the Promotion of International Trade (CCPIT), China Chamber of Commerce for Import and Export of Machinery and Electronic Products (CCCME), the People's Government of Heilongjiang Province, the People's Government of Harbin Municipal Government, raises curtain in Harbin International Exhibition Center on May 29,2006. This CHIME was undertaken by CCPIT Heilongjiang Branch and CCPIT Harbin Branch, Heilongjiang Daily Press Group, Harbin Zhongxin Weiye Exhibition Co., Ltd. The Expo lasts three days and closes on May 31.

  11. The Sixth CHIME Raises Curtain

    Institute of Scientific and Technical Information of China (English)

    Bai; Yifeng; Liu; Jinliang

    2006-01-01

      The Sixth China Harbin Interna tional Manufacturer Expo (CHIME), co-organized by China Council for the Promotion of International Trade (CCPIT), China Chamber of Commerce for Import and Export of Machinery and Electronic Products (CCCME), the People's Government of Heilongjiang Province, the People's Government of Harbin Municipal Government, raises curtain in Harbin International Exhibition Center on May 29,2006. This CHIME was undertaken by CCPIT Heilongjiang Branch and CCPIT Harbin Branch, Heilongjiang Daily Press Group, Harbin Zhongxin Weiye Exhibition Co., Ltd. The Expo lasts three days and closes on May 31.……

  12. A Learning Algorithm for Multimodal Grammar Inference.

    Science.gov (United States)

    D'Ulizia, A; Ferri, F; Grifoni, P

    2011-12-01

    The high costs of development and maintenance of multimodal grammars in integrating and understanding input in multimodal interfaces lead to the investigation of novel algorithmic solutions in automating grammar generation and in updating processes. Many algorithms for context-free grammar inference have been developed in the natural language processing literature. An extension of these algorithms toward the inference of multimodal grammars is necessary for multimodal input processing. In this paper, we propose a novel grammar inference mechanism that allows us to learn a multimodal grammar from its positive samples of multimodal sentences. The algorithm first generates the multimodal grammar that is able to parse the positive samples of sentences and, afterward, makes use of two learning operators and the minimum description length metrics in improving the grammar description and in avoiding the over-generalization problem. The experimental results highlight the acceptable performances of the algorithm proposed in this paper since it has a very high probability of parsing valid sentences.

  13. Integrated processing in multimodal argumentation

    NARCIS (Netherlands)

    Hoven, P.J. van den; Jiang, W.

    2011-01-01

    The question addressed in this paper is simple. If the argumentative function of a multimodal narrative text requires the integration of the information from different modes, among which verbal ones, what model for the order of processing and the integration of information do we need to adopt? Using

  14. Multimodality as a Sociolinguistic Resource

    Science.gov (United States)

    Collister, Lauren Brittany

    2013-01-01

    This work explores the use of multimodal communication in a community of expert "World of Warcraft"® players and its impact on politeness, identity, and relationships. Players in the community regularly communicated using three linguistic modes quasi-simultaneously: text chat, voice chat, and face-to-face interaction. Using the…

  15. Multimodal imaging of ischemic wounds

    Science.gov (United States)

    Zhang, Shiwu; Gnyawali, Surya; Huang, Jiwei; Liu, Peng; Gordillo, Gayle; Sen, Chandan K.; Xu, Ronald

    2012-12-01

    The wound healing process involves the reparative phases of inflammation, proliferation, and remodeling. Interrupting any of these phases may result in chronically unhealed wounds, amputation, or even patient death. Quantitative assessment of wound tissue ischemia, perfusion, and inflammation provides critical information for appropriate detection, staging, and treatment of chronic wounds. However, no method is available for noninvasive, simultaneous, and quantitative imaging of these tissue parameters. We integrated hyperspectral, laser speckle, and thermographic imaging modalities into a single setup for multimodal assessment of tissue oxygenation, perfusion, and inflammation characteristics. Advanced algorithms were developed for accurate reconstruction of wound oxygenation and appropriate co-registration between different imaging modalities. The multimodal wound imaging system was validated by an ongoing clinical trials approved by OSU IRB. In the clinical trial, a wound of 3mm in diameter was introduced on a healthy subject's lower extremity and the healing process was serially monitored by the multimodal imaging setup. Our experiments demonstrated the clinical usability of multimodal wound imaging.

  16. Multi-Modality Phantom Development

    Energy Technology Data Exchange (ETDEWEB)

    Huber, Jennifer S.; Peng, Qiyu; Moses, William W.

    2009-03-20

    Multi-modality imaging has an increasing role in the diagnosis and treatment of a large number of diseases, particularly if both functional and anatomical information are acquired and accurately co-registered. Hence, there is a resulting need for multi modality phantoms in order to validate image co-registration and calibrate the imaging systems. We present our PET-ultrasound phantom development, including PET and ultrasound images of a simple prostate phantom. We use agar and gelatin mixed with a radioactive solution. We also present our development of custom multi-modality phantoms that are compatible with PET, transrectal ultrasound (TRUS), MRI and CT imaging. We describe both our selection of tissue mimicking materials and phantom construction procedures. These custom PET-TRUS-CT-MRI prostate phantoms use agargelatin radioactive mixtures with additional contrast agents and preservatives. We show multi-modality images of these custom prostate phantoms, as well as discuss phantom construction alternatives. Although we are currently focused on prostate imaging, this phantom development is applicable to many multi-modality imaging applications.

  17. Educational Interventions to Raise Awareness of White Privilege

    Science.gov (United States)

    Case, Kim A.; Rios, Desdamona

    2017-01-01

    Diversity courses in higher education often seek to deepen understanding of the systematic advantages associated with dominant group membership, such as white privilege. Most pedagogical studies of privilege awareness examine the impact of full-length diversity courses on white privilege awareness (Case, 2007; Kernahan & Davis, 2009; Lawrence…

  18. Multi-mode process monitoring based on a novel weighted local standardization strategy and support vector data description

    Institute of Scientific and Technical Information of China (English)

    赵付洲; 宋冰; 侍洪波

    2016-01-01

    There are multiple operating modes in the real industrial process, and the collected data follow the complex multimodal distribution, so most traditional process monitoring methods are no longer applicable because their presumptions are that sampled-data should obey the single Gaussian distribution or non-Gaussian distribution. In order to solve these problems, a novel weighted local standardization (WLS) strategy is proposed to standardize the multimodal data, which can eliminate the multi-mode characteristics of the collected data, and normalize them into unimodal data distribution. After detailed analysis of the raised data preprocessing strategy, a new algorithm using WLS strategy with support vector data description (SVDD) is put forward to apply for multi-mode monitoring process. Unlike the strategy of building multiple local models, the developed method only contains a model without the prior knowledge of multi-mode process. To demonstrate the proposed method’s validity, it is applied to a numerical example and a Tennessee Eastman (TE) process. Finally, the simulation results show that the WLS strategy is very effective to standardize multimodal data, and the WLS-SVDD monitoring method has great advantages over the traditional SVDD and PCA combined with a local standardization strategy (LNS-PCA) in multi-mode process monitoring.

  19. Multimode bolometer development for the PIXIE instrument

    Science.gov (United States)

    Nagler, Peter C.; Crowley, Kevin T.; Denis, Kevin L.; Devasia, Archana M.; Fixsen, Dale J.; Kogut, Alan J.; Manos, George; Porter, Scott; Stevenson, Thomas R.

    2016-07-01

    The Primordial Inflation Explorer (PIXIE) is an Explorer-class mission concept designed to measure the polar- ization and absolute intensity of the cosmic microwave background. In the following, we report on the design, fabrication, and performance of the multimode polarization-sensitive bolometers for PIXIE, which are based on silicon thermistors. In particular we focus on several recent advances in the detector design, including the implementation of a scheme to greatly raise the frequencies of the internal vibrational modes of the large-area, low-mass optical absorber structure consisting of a grid of micromachined, ion-implanted silicon wires. With ˜ 30 times the absorbing area of the spider-web bolometers used by Planck, the tensioning scheme enables the PIXIE bolometers to be robust in the vibrational and acoustic environment at launch of the space mission. More generally, it could be used to reduce microphonic sensitivity in other types of low temperature detectors. We also report on the performance of the PIXIE bolometers in a dark cryogenic environment.

  20. Multimode-singlemode-multimode fiber sensor for alcohol sensing application

    Science.gov (United States)

    Rofi'ah, Iftihatur; Hatta, A. M.; Sekartedjo, Sekartedjo

    2016-11-01

    Alcohol is volatile and flammable liquid which is soluble substances both on polar and non polar substances that has been used in some industrial sectors. Alcohol detection method now widely used one of them is the optical fiber sensor. In this paper used fiber optic sensor based on Multimode-Single-mode-Multimode (MSM) to detect alcohol solution at a concentration range of 0-3%. The working principle of sensor utilizes the modal interference between the core modes and the cladding modes, thus make the sensor sensitive to environmental changes. The result showed that characteristic of the sensor not affect the length of the single-mode fiber (SMF). We obtain that the sensor with a length of 5 mm of single-mode can sensing the alcohol with a sensitivity of 0.107 dB/v%.

  1. Inorganic Nanoparticles for Multimodal Molecular Imaging

    Directory of Open Access Journals (Sweden)

    Magdalena Swierczewska

    2011-01-01

    Full Text Available Multimodal molecular imaging can offer a synergistic improvement of diagnostic ability over a single imaging modality. Recent development of hybrid imaging systems has profoundly impacted the pool of available multimodal imaging probes. In particular, much interest has been focused on biocompatible, inorganic nanoparticle-based multimodal probes. Inorganic nanoparticles offer exceptional advantages to the field of multimodal imaging owing to their unique characteristics, such as nanometer dimensions, tunable imaging properties, and multifunctionality. Nanoparticles mainly based on iron oxide, quantum dots, gold, and silica have been applied to various imaging modalities to characterize and image specific biologic processes on a molecular level. A combination of nanoparticles and other materials such as biomolecules, polymers, and radiometals continue to increase functionality for in vivo multimodal imaging and therapeutic agents. In this review, we discuss the unique concepts, characteristics, and applications of the various multimodal imaging probes based on inorganic nanoparticles.

  2. Cognitive Principles in Robust Multimodal Interpretation

    CERN Document Server

    Chai, J Y; Qu, S; 10.1613/jair.1936

    2011-01-01

    Multimodal conversational interfaces provide a natural means for users to communicate with computer systems through multiple modalities such as speech and gesture. To build effective multimodal interfaces, automated interpretation of user multimodal inputs is important. Inspired by the previous investigation on cognitive status in multimodal human machine interaction, we have developed a greedy algorithm for interpreting user referring expressions (i.e., multimodal reference resolution). This algorithm incorporates the cognitive principles of Conversational Implicature and Givenness Hierarchy and applies constraints from various sources (e.g., temporal, semantic, and contextual) to resolve references. Our empirical results have shown the advantage of this algorithm in efficiently resolving a variety of user references. Because of its simplicity and generality, this approach has the potential to improve the robustness of multimodal input interpretation.

  3. Multimodal Biometrics using Feature Fusion

    Directory of Open Access Journals (Sweden)

    K. Krishneswari

    2012-01-01

    Full Text Available Problem statement: Biometrics is a unique, measurable physiological or behavioural characteristic of a person and finds extensive applications in authentication and authorization. Fingerprint, palm print, iris, voice, are some of the most widely used biometrics for personal identification. To reduce the error rates and enhance the usability of biometric system, multimodal biometric systems are used where more than one biometric characteristics are used. Approach: In this study it is proposed to investigate the performance of multimodal biometrics using palm print and fingerprint. Features are extracted using Discrete Cosine Transform (DCT and attributes selected using Information Gain (IG. Results and Conclusion: The proposed technique shows an average improvement of 8.52% compared to using palmprint technique alone. The processing time does not increase for verification compared to palm print techniques.

  4. Continuous verification using multimodal biometrics.

    Science.gov (United States)

    Sim, Terence; Zhang, Sheng; Janakiraman, Rajkumar; Kumar, Sandeep

    2007-04-01

    Conventional verification systems, such as those controlling access to a secure room, do not usually require the user to reauthenticate himself for continued access to the protected resource. This may not be sufficient for high-security environments in which the protected resource needs to be continuously monitored for unauthorized use. In such cases, continuous verification is needed. In this paper, we present the theory, architecture, implementation, and performance of a multimodal biometrics verification system that continuously verifies the presence of a logged-in user. Two modalities are currently used--face and fingerprint--but our theory can be readily extended to include more modalities. We show that continuous verification imposes additional requirements on multimodal fusion when compared to conventional verification systems. We also argue that the usual performance metrics of false accept and false reject rates are insufficient yardsticks for continuous verification and propose new metrics against which we benchmark our system.

  5. The bicriterion multimodal assignment problem

    DEFF Research Database (Denmark)

    Pedersen, Christian Roed; Nielsen, Lars Relund; Andersen, Kim Allan

    2008-01-01

    We consider the bicriterion multimodal assignment problem, which is a new generalization of the classical linear assignment problem. A two-phase solution method using an effective ranking scheme is presented. The algorithm is valid for generating all nondominated criterion points...... or an approximation. Extensive computational results are conducted on a large library of test instances to test the performance of the algorithm and to identify hard test instances. Also, test results of the algorithm applied to the bicriterion assignment problem are provided....

  6. Evaluation of multimodal ground cues

    DEFF Research Database (Denmark)

    Nordahl, Rolf; Lecuyer, Anatole; Serafin, Stefania

    2012-01-01

    This chapter presents an array of results on the perception of ground surfaces via multiple sensory modalities,with special attention to non visual perceptual cues, notably those arising from audition and haptics, as well as interactions between them. It also reviews approaches to combining synth...... synthetic multimodal cues, from vision, haptics, and audition, in order to realize virtual experiences of walking on simulated ground surfaces or other features....

  7. The Theme in the Multimodality

    Institute of Scientific and Technical Information of China (English)

    Liu; Xiaolin

    2014-01-01

    <正>1.Systemic Functional Linguistic(SFL)and Multimodality The theoretical foundation for this analysis is mainly extrapolated from the approach of language as a social semiotic process(Halliday 1978,2004).SFL deals with the way texts are articulated to be appropriate for particular situations of use.Halliday develops a Systemic Functional approach in relation to verbal language and offers a set of grammatical systems which realize the three metafunctions of language.In them,the clause

  8. Multi-Mode Broadband Patch Antenna

    Science.gov (United States)

    Romanofsky, Robert R. (Inventor)

    2001-01-01

    A multi-mode broad band patch antenna is provided that allows for the same aperture to be used at independent frequencies such as reception at 19 GHz and transmission at 29 GHz. Furthermore, the multi-mode broadband patch antenna provides a ferroelectric film that allows for tuning capability of the multi-mode broadband patch antenna over a relatively large tuning range. The alternative use of a semiconductor substrate permits reduced control voltages since the semiconductor functions as a counter electrode.

  9. Multimodal CT in stroke imaging: new concepts.

    Science.gov (United States)

    Ledezma, Carlos J; Wintermark, Max

    2009-01-01

    A multimodal CT protocol provides a comprehensive noninvasive survey of acute stroke patients with accurate demonstration of the site of arterial occlusion and its hemodynamic tissue status. It combines widespread availability with the ability to provide functional characterization of cerebral ischemia, and could potentially allow more accurate selection of candidates for acute stroke reperfusion therapy. This article discusses the individual components of multimodal CT and addresses the potential role of a combined multimodal CT stroke protocol in acute stroke therapy.

  10. Multimodal Diversity of Postmodernist Fiction Text

    Directory of Open Access Journals (Sweden)

    U. I. Tykha

    2016-12-01

    Full Text Available The article is devoted to the analysis of structural and functional manifestations of multimodal diversity in postmodernist fiction texts. Multimodality is defined as the coexistence of more than one semiotic mode within a certain context. Multimodal texts feature a diversity of semiotic modes in the communication and development of their narrative. Such experimental texts subvert conventional patterns by introducing various semiotic resources – verbal or non-verbal.

  11. Multimodal nanoparticulate bioimaging contrast agents.

    Science.gov (United States)

    Sharma, Parvesh; Singh, Amit; Brown, Scott C; Bengtsson, Niclas; Walter, Glenn A; Grobmyer, Stephen R; Iwakuma, Nobutaka; Santra, Swadeshmukul; Scott, Edward W; Moudgil, Brij M

    2010-01-01

    A wide variety of bioimaging techniques (e.g., ultrasound, computed X-ray tomography, magnetic resonance imaging (MRI), and positron emission tomography) are commonly employed for clinical diagnostics and scientific research. While all of these methods use a characteristic "energy-matter" interaction to provide specific details about biological processes, each modality differs from another in terms of spatial and temporal resolution, anatomical and molecular details, imaging depth, as well as the desirable material properties of contrast agents needed for augmented imaging. On many occasions, it is advantageous to apply multiple complimentary imaging modalities for faster and more accurate prognosis. Since most imaging modalities employ exogenous contrast agents to improve the signal-to-noise ratio, the development and use of multimodal contrast agents is considered to be highly advantageous for obtaining improved imagery from sought-after imaging modalities. Multimodal contrast agents offer improvements in patient care, and at the same time can reduce costs and enhance safety by limiting the number of contrast agent administrations required for imaging purposes. Herein, we describe the synthesis and characterization of nanoparticulate-based multimodal contrast agent for noninvasive bioimaging using MRI, optical, and photoacoustic tomography (PAT)-imaging modalities. The synthesis of these agents is described using microemulsions, which enable facile integration of the desired diversity of contrast agents and material components into a single entity.

  12. Advances in multimodality molecular imaging

    Directory of Open Access Journals (Sweden)

    Zaidi Habib

    2009-01-01

    Full Text Available Multimodality molecular imaging using high resolution positron emission tomography (PET combined with other modalities is now playing a pivotal role in basic and clinical research. The introduction of combined PET/CT systems in clinical setting has revolutionized the practice of diagnostic imaging. The complementarity between the intrinsically aligned anatomic (CT and functional or metabolic (PET information provided in a "one-stop shop" and the possibility to use CT images for attenuation correction of the PET data has been the driving force behind the success of this technology. On the other hand, combining PET with Magnetic Resonance Imaging (MRI in a single gantry is technically more challenging owing to the strong magnetic fields. Nevertheless, significant progress has been made resulting in the design of few preclinical PET systems and one human prototype dedicated for simultaneous PET/MR brain imaging. This paper discusses recent advances in PET instrumentation and the advantages and challenges of multimodality imaging systems. Future opportunities and the challenges facing the adoption of multimodality imaging instrumentation will also be addressed.

  13. Diffusion Maps for Multimodal Registration

    Directory of Open Access Journals (Sweden)

    Gemma Piella

    2014-06-01

    Full Text Available Multimodal image registration is a difficult task, due to the significant intensity variations between the images. A common approach is to use sophisticated similarity measures, such as mutual information, that are robust to those intensity variations. However, these similarity measures are computationally expensive and, moreover, often fail to capture the geometry and the associated dynamics linked with the images. Another approach is the transformation of the images into a common space where modalities can be directly compared. Within this approach, we propose to register multimodal images by using diffusion maps to describe the geometric and spectral properties of the data. Through diffusion maps, the multimodal data is transformed into a new set of canonical coordinates that reflect its geometry uniformly across modalities, so that meaningful correspondences can be established between them. Images in this new representation can then be registered using a simple Euclidean distance as a similarity measure. Registration accuracy was evaluated on both real and simulated brain images with known ground-truth for both rigid and non-rigid registration. Results showed that the proposed approach achieved higher accuracy than the conventional approach using mutual information.

  14. Multimodality imaging of pulmonary infarction

    Energy Technology Data Exchange (ETDEWEB)

    Bray, T.J.P., E-mail: timothyjpbray@gmail.com [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom); Mortensen, K.H., E-mail: mortensen@doctors.org.uk [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom); University Department of Radiology, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Box 318, Cambridge CB2 0QQ (United Kingdom); Gopalan, D., E-mail: deepa.gopalan@btopenworld.com [Department of Radiology, Papworth Hospital NHS Foundation Trust, Ermine Street, Papworth Everard, Cambridge CB23 3RE (United Kingdom)

    2014-12-15

    Highlights: • A plethora of pulmonary and systemic disorders, often associated with grave outcomes, may cause pulmonary infarction. • A stereotypical infarct is a peripheral wedge shaped pleurally based opacity but imaging findings can be highly variable. • Multimodality imaging is key to diagnosing the presence, aetiology and complications of pulmonary infarction. • Multimodality imaging of pulmonary infarction together with any ancillary features often guide to early targeted treatment. • CT remains the principal imaging modality with MRI increasingly used alongside nuclear medicine studies and ultrasound. - Abstract: The impact of absent pulmonary arterial and venous flow on the pulmonary parenchyma depends on a host of factors. These include location of the occlusive insult, the speed at which the occlusion develops and the ability of the normal dual arterial supply to compensate through increased bronchial arterial flow. Pulmonary infarction occurs when oxygenation is cut off secondary to sudden occlusion with lack of recruitment of the dual supply arterial system. Thromboembolic disease is the commonest cause of such an insult but a whole range of disease processes intrinsic and extrinsic to the pulmonary arterial and venous lumen may also result in infarcts. Recognition of the presence of infarction can be challenging as imaging manifestations often differ from the classically described wedge shaped defect and a number of weighty causes need consideration. This review highlights aetiologies and imaging appearances of pulmonary infarction, utilising cases to illustrate the essential role of a multimodality imaging approach in order to arrive at the appropriate diagnosis.

  15. Capture market share, raise prices

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2015-08-01

    Full Text Available No abstract available. Article truncated after 150 words. Two principles in medical economics central to the Affordable Care Act (ACA were dealt blows by recently published studies. The first principle is the belief that economies of scale will result in lower prices. The theory is that larger insurers will have lower prices because they are more administratively efficient. The second principle is that provider-owned health plans, usually hospitals, will reduce premiums. The theory is that by controlling doctors over charging health plans in a fee-for-service model will lower prices. The first study published in Technology Science found that the largest insurer in each of the states served by HealthCare.gov raised their prices in 2015 by an average of over 10 per cent compared to smaller competitors in the same market (1. Those steeper price hikes for monthly premiums did not seem warranted by the level of health claims which did not significantly differ as a percentage of premiums ...

  16. Multimodal system for the planning and guidance of bronchoscopy

    Science.gov (United States)

    Higgins, William E.; Cheirsilp, Ronnarit; Zang, Xiaonan; Byrnes, Patrick

    2015-03-01

    Many technical innovations in multimodal radiologic imaging and bronchoscopy have emerged recently in the effort against lung cancer. Modern X-ray computed-tomography (CT) scanners provide three-dimensional (3D) high-resolution chest images, positron emission tomography (PET) scanners give complementary molecular imaging data, and new integrated PET/CT scanners combine the strengths of both modalities. State-of-the-art bronchoscopes permit minimally invasive tissue sampling, with vivid endobronchial video enabling navigation deep into the airway-tree periphery, while complementary endobronchial ultrasound (EBUS) reveals local views of anatomical structures outside the airways. In addition, image-guided intervention (IGI) systems have proven their utility for CT-based planning and guidance of bronchoscopy. Unfortunately, no IGI system exists that integrates all sources effectively through the complete lung-cancer staging work flow. This paper presents a prototype of a computer-based multimodal IGI system that strives to fill this need. The system combines a wide range of automatic and semi-automatic image-processing tools for multimodal data fusion and procedure planning. It also provides a flexible graphical user interface for follow-on guidance of bronchoscopy/EBUS. Human-study results demonstrate the system's potential.

  17. Multimodal Interactions with Agents in Virtual Worlds

    NARCIS (Netherlands)

    Nijholt, A.; Hulstijn, J.; Kasabov, N.

    2000-01-01

    In this chapter we discuss our research on multimodal interaction in a virtual environment. The environment we have developed can be considered as a ‘laboratory’ for research on multimodal interactions and multimedia presentation, where we have multiple users and various agents that help the users t

  18. Multimode optical fibers: steady state mode exciter.

    Science.gov (United States)

    Ikeda, M; Sugimura, A; Ikegami, T

    1976-09-01

    The steady state mode power distribution of the multimode graded index fiber was measured. A simple and effective steady state mode exciter was fabricated by an etching technique. Its insertion loss was 0.5 dB for an injection laser. Deviation in transmission characteristics of multimode graded index fibers can be avoided by using the steady state mode exciter.

  19. Multimodal Literacies in the Secondary English Classroom

    Science.gov (United States)

    Sewell, William C.; Denton, Shawn

    2011-01-01

    To provide insight into the issue of multimodal literacy instruction, the authors explore presentation techniques and instructional activities employed in their secondary language arts classes. They collaborate on assignments that focus students on "anchored media instruction" and engage them in producing multimodal, technology-infused projects,…

  20. Multimodal Narrative Inquiry: Six Teacher Candidates Respond

    Science.gov (United States)

    Morawski, Cynthia M.; Rottmann, Jennifer

    2016-01-01

    In this paper we present findings of a study on the implementation of a multimodal teacher narrative inquiry component, theoretically grounded by Rosenblatt's theory of transaction analysis, methodologically supported by action research and practically enacted by narrative inquiry and multimodal learning. In particular, the component offered…

  1. Multimodal Pedagogies for Teacher Education in TESOL

    Science.gov (United States)

    Yi, Youngjoo; Angay-Crowder, Tuba

    2016-01-01

    As a growing number of English language learners (ELLs) engage in digital and multimodal literacy practices in their daily lives, teachers are starting to incorporate multimodal approaches into their instruction. However, anecdotal and empirical evidence shows that teachers often feel unprepared for integrating such practices into their curricula…

  2. (Re-)Examination of Multimodal Augmented Reality

    NARCIS (Netherlands)

    Rosa, N.E.; Werkhoven, P.J.; Hürst, W.O.

    The majority of augmented reality (AR) research has been concerned with visual perception, however the move towards multimodality is imminent. At the same time, there is no clear vision of what multimodal AR is. The purpose of this position paper is to consider possible ways of examining AR other

  3. Evaluating Multimodal Literacies in Student Blogs

    Science.gov (United States)

    O'Byrne, Barbara; Murrell, Stacey

    2014-01-01

    This research presents ways in which high school students used the multimodal and interactive affordances of blogs to create, organize, communicate and participate on an educational blog. Their actions demonstrated how plural modes of literacy are infiltrating digital environments and reshaping literacy and learning. Multimodal blogging practices…

  4. A cuckoo search algorithm for multimodal optimization.

    Science.gov (United States)

    Cuevas, Erik; Reyna-Orta, Adolfo

    2014-01-01

    Interest in multimodal optimization is expanding rapidly, since many practical engineering problems demand the localization of multiple optima within a search space. On the other hand, the cuckoo search (CS) algorithm is a simple and effective global optimization algorithm which can not be directly applied to solve multimodal optimization problems. This paper proposes a new multimodal optimization algorithm called the multimodal cuckoo search (MCS). Under MCS, the original CS is enhanced with multimodal capacities by means of (1) the incorporation of a memory mechanism to efficiently register potential local optima according to their fitness value and the distance to other potential solutions, (2) the modification of the original CS individual selection strategy to accelerate the detection process of new local minima, and (3) the inclusion of a depuration procedure to cyclically eliminate duplicated memory elements. The performance of the proposed approach is compared to several state-of-the-art multimodal optimization algorithms considering a benchmark suite of fourteen multimodal problems. Experimental results indicate that the proposed strategy is capable of providing better and even a more consistent performance over existing well-known multimodal algorithms for the majority of test problems yet avoiding any serious computational deterioration.

  5. Addressing multimodality in overt aggression detection

    NARCIS (Netherlands)

    Lefter, I.; Rothkrantz, L.J.M.; Burghouts, G.; Yang, Z.; Wiggers, P.

    2011-01-01

    Automatic detection of aggressive situations has a high societal and scientific relevance. It has been argued that using data from multimodal sensors as for example video and sound as opposed to unimodal is bound to increase the accuracy of detections. We approach the problem of multimodal aggressio

  6. Comparative Study of Multimodal and Pharmacological Therapy in Treating School Aged Children with ADHD

    Directory of Open Access Journals (Sweden)

    Susana Bogdana MILEA

    2012-09-01

    Full Text Available The attention deficit hyperactivity disorder (ADHD, one of the most commonly diagnosed psychiatric disorders among school aged children, continues to create disputes between specialists, upon the best treatment to be used. The herby study aims to bring forward some differences that may exist between the efficacy of the multimodal treatment compared to the drug treatment of ADHD. The novelty component of this study, unfolded February 2010-July 2012, is that the children, their parents and also their teachers were included in the multimodality treatment. The children included in this research (n=63, aged 6-14 and ADHD diagnosed, were randomly assigned in two groups. In the medication (Med group (n=32 the children only received the specific pharmacological treatment (Atomoxetine or Methylphenidate, and for the multimodality (MM group (n=31 the therapy included psychosocial interventions besides the drug therapy. All children were evaluated, both pre and post intervention, with the Achenbach System of Empirically Based Assessment – ASEBA, for the 6-18 aged category. We have compared the influence of therapy on the core symptoms, on the adaptive functionality and academic performance and on the competences and social functioning of the children in the two groups. The multimodal intervention proved to be more effective (p<0.05 than medication alone, firstly in ameliorating the child’s social behavior in both family and school environment, than in what concerns the main ADHD symptoms. The children’s academic performance was little impacted by either of the two therapies.

  7. The Multimodal Possibilities of Online Instructions

    DEFF Research Database (Denmark)

    Kampf, Constance

    2006-01-01

    The WWW simplifies the process of delivering online instructions through multimodal channels because of the ease of use for voice, video, pictures, and text modes of communication built into it.  Given that instructions are being produced in multimodal format for the WWW, how do multi......-modal analysis tools help us understand the impact of multimodal channels used in instructions?  This paper looks at Kress and VanLeewan's questions of "how narrative is shaped in a specific mode and how it is reshaped when it appears in different modes?" (2001:128)  In addition, the intersection of linguistics...... and rhetoric is explored as a means of understanding the multimodal possibilities for technical communication genres such as instructions....

  8. Multifuel multimodal network design; Projeto de redes multicombustiveis multimodal

    Energy Technology Data Exchange (ETDEWEB)

    Lage, Carolina; Dias, Gustavo; Bahiense, Laura; Ferreira Filho, Virgilio J.M. [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia (COPPE). Programa de Engenharia de Producao

    2008-07-01

    The objective of the Multi commodity Multimodal Network Project is the development of modeling tools and methodologies for the optimal sizing of production networks and multimodal distribution of multiple fuel and its incomes, considering investments and transportation costs. Given the inherently non-linear combinatory nature of the problem, the resolution of real instances by the complete model, in an exact way, becomes computationally intractable. Thus, the strategy for resolution should contain a combination of exacts and heuristics methods, that must be applied to subdivisions of the original problem. This paper deals with one of these subdivisions, tackling the problem of modeling a network of pipelines in order to drain the production of ethanol away from the producing plants. The objective consists in defining the best network topology, minimizing investment and operational costs, and attending the total demand. In order to do that, the network was considered a tree, where the nodes are the center of producing regions and the edges are the pipelines, trough where the ethanol produced by plants must be drained away. The main objective also includes the decision over the optimal diameter of each pipeline and the optimal size of the bombs, in order to minimize the pumping costs. (author)

  9. Metawidgets in the multimodal interface

    Energy Technology Data Exchange (ETDEWEB)

    Blattner, M.M. (Lawrence Livermore National Lab., CA (United States) Anderson (M.D.) Cancer Center, Houston, TX (United States)); Glinert, E.P.; Jorge, J.A.; Ormsby, G.R. (Rensselaer Polytechnic Inst., Troy, NY (United States). Dept. of Computer Science)

    1991-01-01

    We analyze two intertwined and fundamental issues concerning computer-to-human communication in the multimodal interfaces: the interplay between sound and graphics, and the role of object persistence. Our observations lead us to introduce metawidgets as abstract entities capable of manifesting themselves to users as image, as sound, or as various combinations and/or sequences of the two media. We show examples of metawidgets in action, and discuss mechanisms for choosing among alternative media for metawidget instantiation. Finally, we describe a couple of experimental microworlds we have implemented to test out some of our ideas. 17 refs., 7 figs.

  10. Modal dynamics in multimode fibers

    CERN Document Server

    Fridman, Moti; Nixon, Micha; Friesem, Asher A; Davidson, Nir

    2010-01-01

    The dynamics of modes and their states of polarizations in multimode fibers as a function of time, space, and wavelength are experimentally and theoretically investigated. The results reveal that the states of polarizations are displaced in Poincare sphere representation when varying the angular orientations of the polarization at the incident light. Such displacements, which complicates the interpretation of the results, are overcome by resorting to modified Poincare spheres representation. With such modification it should be possible to predict the output modes and their state of polarization when the input mode and state of polarization are known.

  11. Multimodal therapy in perioperative analgesia.

    Science.gov (United States)

    Gritsenko, Karina; Khelemsky, Yury; Kaye, Alan David; Vadivelu, Nalini; Urman, Richard D

    2014-03-01

    This article reviews the current evidence for multimodal analgesic options for common surgical procedures. As perioperative physicians, we have come a long way from using only opioids for postoperative pain to combinations of acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), selective Cyclo-oxygenase (COX-2) inhibitors, local anesthetics, N-methyl-d-aspartate (NMDA) receptor antagonists, and regional anesthetics. As discussed in this article, many of these agents have decreased narcotic requirements, improved patient satisfaction, and decreased postanesthesia care unit (PACU) times, as well as morbidity in the perioperative period.

  12. A 2×2 SOI mach-zehnder thermo-optical switch based on strongly guided paired multimode interference couplers

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A silicon-on-insulator 2×2 Mach-Zehnder thermo-optical switch is developed based on strongly guided paired multimode interference couplers. The multimode-interference couplers were etched deeply for improving coupler characteristics such as self-imaging quality, uniformity and fabrication tolerance. The proposed switch achieves good performances, including a low insertion loss of -11 .OdB, a fiber-waveguide coupling loss of -4.3dB and a fast response speed measured to be 3.5 and 8.8 μs for raise and fall switching time, respectively.

  13. 50 CFR 14.23 - Live farm-raised fish and farm-raised fish eggs.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Live farm-raised fish and farm-raised fish eggs. 14.23 Section 14.23 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF... Exportation at Designated Ports § 14.23 Live farm-raised fish and farm-raised fish eggs. Live farm-raised...

  14. MULTIMODALITIES OF MANAGEMENT OF PAEDIATRIC ILEOCOLIC INTUSSUSCEPTION

    Directory of Open Access Journals (Sweden)

    Keshava Murthy

    2015-11-01

    Full Text Available : Intussusception is a life-threatening illness and occurs when a portion of the intestine folds like a telescope with one segment slipping inside another segment. Hirschsprung was the first to publish a series of reports on successful hydrostatic reduction in 1876. Intussusception remains one of the most commonly encountered paediatric surgical emergencies. Enema reduction still remains the mainstay of non-operative care today. Barium and more recently air contrast enemas have been the initial diagnostic and therapeutic investigation of choice. Successful reduction rates vary widely from 42 to 95% (eee. AIMS AND OBJECTIVES: Aims and objectives of this article with a series of cases of intussusception is to review the various clinical presentation and to study the effectiveness of non-surgical intervention using contrast or AIR enema reduction under fluoroscopic guidance. METHODS AND RESULTS: A prospective study from October 2010 to September 2015 was carried out in hospitals in Bangalore. Complete review of medical records for clinical and demographic information was only performed for those cases fulfilling diagnostic criteria. During the study, A total of 62 patients diagnosed cases were included in this study. Cases identified in the study were similar in presentation and demographics as those observed in other South Asian Countries. These patients were haemodynamically stabilized and were subjected to definitive procedure; enema reduction was tried in all patients. Multimodalities of management included nonoperative reduction that is hydrostatic enema reduction in 2 cases (3.2, barium enema reduction 45 cases (72.5 and air enema recution in 12 cases (19.3, finally 3 cases (4.8 which failed enema reduction were operated. One case (1.61 intussusception - associated death was recorded. CONCLUSION: Surgical intervention in intussusception can be prevented by nonoperative reduction, especially if presented early and no signs of peritonitis.

  15. A Multimodal Approach for Myofascial Pain Syndrome: A Prospective Study.

    Science.gov (United States)

    Segura-Pérez, María; Hernández-Criado, M Teresa; Calvo-Lobo, César; Vega-Piris, Lorena; Fernández-Martín, Raquel; Rodríguez-Sanz, David

    The purpose of this study was to analyze pain intensity in patients with myofascial pain syndrome (MPS) following a multimodal rehabilitation protocol. A prospective study was carried out following the Template for Intervention Description and Replication criteria. Patients were recruited from the rehabilitation unit of a university hospital in Spain between 2009 and 2013. Patients were included if they had a medical diagnosis of MPS in any of the following regions: cervicobrachial (n = 102), lumbosacral (n = 30), elbow (n = 14), ankle and foot (n = 10), and temporomandibular jaw (n = 1). The multimodal rehabilitation protocol included myofascial trigger point dry needling, spray and stretching, Kinesio taping, eccentric exercise, and patient education. The protocol was applied for 4 weeks (5 sessions) for the active and/or latent myofascial trigger points in each body region. Pain intensity was measured by using the visual analog scale (VAS) immediately before beginning of the study and 1 week after completion of the protocol. The study sample comprised 150 patients (mean ± standard deviation age, 51.5 ± 1.19 years). Statistically significant differences were obtained for reduction in pain intensity (4 ± 2.03; P = .002). Clinically relevant reductions (VAS ≥30 mm; P < .001) were obtained in 78.7% of the interventions. Four treatment sessions reduced the VAS score by 10 mm in 83.55% of the sample. There were no statistically significant differences (P = .064) for reduction in pain intensity in the different body regions. A multimodal rehabilitation protocol showed clinically relevant differences in the reduction in pain intensity in different body regions in patients with MPS. Copyright © 2017. Published by Elsevier Inc.

  16. Cardiac imaging. A multimodality approach

    Energy Technology Data Exchange (ETDEWEB)

    Thelen, Manfred [Johannes Gutenberg University Hospital, Mainz (Germany); Erbel, Raimund [University Hospital Essen (Germany). Dept. of Cardiology; Kreitner, Karl-Friedrich [Johannes Gutenberg University Hospital, Mainz (Germany). Clinic and Polyclinic for Diagnostic and Interventional Radiology; Barkhausen, Joerg (eds.) [University Hospital Schleswig-Holstein, Luebeck (Germany). Dept. of Radiology and Nuclear Medicine

    2009-07-01

    An excellent atlas on modern diagnostic imaging of the heart Written by an interdisciplinary team of experts, Cardiac Imaging: A Multimodality Approach features an in-depth introduction to all current imaging modalities for the diagnostic assessment of the heart as well as a clinical overview of cardiac diseases and main indications for cardiac imaging. With a particular emphasis on CT and MRI, the first part of the atlas also covers conventional radiography, echocardiography, angiography and nuclear medicine imaging. Leading specialists demonstrate the latest advances in the field, and compare the strengths and weaknesses of each modality. The book's second part features clinical chapters on heart defects, endocarditis, coronary heart disease, cardiomyopathies, myocarditis, cardiac tumors, pericardial diseases, pulmonary vascular diseases, and diseases of the thoracic aorta. The authors address anatomy, pathophysiology, and clinical features, and evaluate the various diagnostic options. Key features: - Highly regarded experts in cardiology and radiology off er image-based teaching of the latest techniques - Readers learn how to decide which modality to use for which indication - Visually highlighted tables and essential points allow for easy navigation through the text - More than 600 outstanding images show up-to-date technology and current imaging protocols Cardiac Imaging: A Multimodality Approach is a must-have desk reference for cardiologists and radiologists in practice, as well as a study guide for residents in both fields. It will also appeal to cardiac surgeons, general practitioners, and medical physicists with a special interest in imaging of the heart. (orig.)

  17. Untangled modes in multimode waveguides

    Science.gov (United States)

    Plöschner, Martin; Tyc, TomáÅ.¡; Čižmár, TomáÅ.¡

    2016-03-01

    Small, fibre-based endoscopes have already improved our ability to image deep within the human body. A novel approach introduced recently utilised disordered light within a standard multimode optical fibre for lensless imaging. Importantly, this approach brought very significant reduction of the instruments footprint to dimensions below 100 μm. The most important limitations of this exciting technology is the lack of bending flexibility - imaging is only possible as long as the fibre remains stationary. The only route to allow flexibility of such endoscopes is in trading-in all the knowledge about the optical system we have, particularly the cylindrical symmetry of refractive index distribution. In perfect straight step-index cylindrical waveguides we can find optical modes that do not change their spatial distribution as they propagate through. In this paper we present a theoretical background that provides description of such modes in more realistic model of real-life step-index multimode fibre taking into account common deviations in distribution of the refractive index from its ideal step-index profile. Separately, we discuss how to include the influence of fibre bending.

  18. Human Behavior Analysis by Means of Multimodal Context Mining.

    Science.gov (United States)

    Banos, Oresti; Villalonga, Claudia; Bang, Jaehun; Hur, Taeho; Kang, Donguk; Park, Sangbeom; Huynh-The, Thien; Le-Ba, Vui; Amin, Muhammad Bilal; Razzaq, Muhammad Asif; Khan, Wahajat Ali; Hong, Choong Seon; Lee, Sungyoung

    2016-01-01

    There is sufficient evidence proving the impact that negative lifestyle choices have on people's health and wellness. Changing unhealthy behaviours requires raising people's self-awareness and also providing healthcare experts with a thorough and continuous description of the user's conduct. Several monitoring techniques have been proposed in the past to track users' behaviour; however, these approaches are either subjective and prone to misreporting, such as questionnaires, or only focus on a specific component of context, such as activity counters. This work presents an innovative multimodal context mining framework to inspect and infer human behaviour in a more holistic fashion. The proposed approach extends beyond the state-of-the-art, since it not only explores a sole type of context, but also combines diverse levels of context in an integral manner. Namely, low-level contexts, including activities, emotions and locations, are identified from heterogeneous sensory data through machine learning techniques. Low-level contexts are combined using ontological mechanisms to derive a more abstract representation of the user's context, here referred to as high-level context. An initial implementation of the proposed framework supporting real-time context identification is also presented. The developed system is evaluated for various realistic scenarios making use of a novel multimodal context open dataset and data on-the-go, demonstrating prominent context-aware capabilities at both low and high levels.

  19. Multi-modality treatment of colorectal liver metastases

    Institute of Scientific and Technical Information of China (English)

    Guo-Xiang Cai; San-Jun Cai

    2012-01-01

    Liver metastases synchronously or metachronously occur in approximately 50% of colorectal cancer patients. Multimodality comprehensive treatment is the best therapeutic strategy for these patients. However, the optimal pattern of multimodality therapy is still controversial, and it raises several significant concerns. Liver resection is the most important treatment for colorectal liver metastases. The definition of resectability has shifted to focus on the completion of R0 resection and normal liver function maintenance. The role of neoadjuvant and adjuvant chemotherapy still needs to be clarified. The management of either progression or complete remission during neoadjuvant chemotherapy is challenging. The optimal sequencing of surgery and chemotherapy in synchronous colorectal liver metastases patients is still unclear. Conversional chemotherapy, portal vein embolization, two-stage resection, and tumor ablation are effective approaches to improve resectability for initially unresectable patients. Several technical issues and concerns related to these methods need to be further explored. For patients with definitely unresectable liver disease, the necessity of resecting the primary tumor is still debatable, and evaluating and predicting the efficacy of targeted therapy deserve further investigation. This review discusses different patterns and important concerns of multidisciplinary treatment of colorectal liver metastases.

  20. 28 CFR 902.2 - Raising disputes.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Raising disputes. 902.2 Section 902.2 Judicial Administration NATIONAL CRIME PREVENTION AND PRIVACY COMPACT COUNCIL DISPUTE ADJUDICATION PROCEDURES § 902.2 Raising disputes. (a) Cognizable disputes may be based upon: (1) A claim that the...

  1. Mediating multimodal environmental knowledge across animation techniques

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    2011-01-01

    in the technology- mediated discourse of short animation films. This is done by employing the model of multimodal discourse analysis proposed by Van Leeuwen (2008) and Machin and Van Leeuwen (2007) to the analysis of a series of animation films focused on environmental problems. These films are united under......://www.sustainlane.com/. The multimodal discourse analysis is meant to reveal how selection and representation of environmental knowledge about social actors, social actions, resources, time and space are influenced by animation techniques. Furthermore, in the context of this multimodal discourse analysis, their influence upon...

  2. Tibial cortical lesions: A multimodality pictorial review

    Energy Technology Data Exchange (ETDEWEB)

    Tyler, P.A., E-mail: philippa.tyler@rnoh.nhs.uk [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Mohaghegh, P., E-mail: pegah1000@gmail.com [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Foley, J., E-mail: jfoley1@nhs.net [Department of Radiology, Glasgow Royal Infirmary, 16 Alexandra Parade, Glasgow G31 2ES (United Kingdom); Isaac, A., E-mail: amandaisaac@doctors.org.uk [Department of Radiology, King' s College Hospital, Denmark Hill, London SE5 9RS (United Kingdom); Zavareh, A., E-mail: ali.zavareh@gmail.com [Department of Radiology, North Bristol NHS Trust, Frenchay, Bristol BS16 1LE (United Kingdom); Thorning, C., E-mail: cthorning@doctors.org.uk [Department of Radiology, East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH (United Kingdom); Kirwadi, A., E-mail: anandkirwadi@gmail.com [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL (United Kingdom); Pressney, I., E-mail: ipressney@hotmail.com [Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Amary, F., E-mail: fernanda.amary@rnoh.nhs.uk [Department of Histopathology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP (United Kingdom); Rajeswaran, G., E-mail: grajeswaran@gmail.com [Department of Radiology, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH (United Kingdom)

    2015-01-15

    Highlights: • Multimodality imaging plays an important role in the investigation and diagnosis of shin pain. • We review the multimodality imaging findings of common cortically based tibial lesions. • We also describe the rarer pathologies of tibial cortical lesions. - Abstract: Shin pain is a common complaint, particularly in young and active patients, with a wide range of potential diagnoses and resulting implications. We review the natural history and multimodality imaging findings of the more common causes of cortically-based tibial lesions, as well as the rarer pathologies less frequently encountered in a general radiology department.

  3. The multimodal argumentation of persuasive counter discourses

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    are given prominence in the argumentation by examining their complex interplay and functional differentiation. The ways in which speech, writing and images articulate the counter discourse occupy a central position in the analysis. A special focus is put on the multimodal configuration of specific...... and new multimodal ways of discussing them. References Kress, G. 2010. Multimodality. A Social Semiotic Approach to Contemporary Communication. London: Routledge. Van Leeuwen, Theo. 2008. Discourse and Practice. New Tools for Critical Discourse Analysis. Oxford: Oxford University Press. Chouliaraki, L...

  4. Photon correlations in multimode waveguides

    Energy Technology Data Exchange (ETDEWEB)

    Poem, Eilon; Silberberg, Yaron [Department of Physics of Complex Systems, Weizmann Institute of Science, Rehovot 76100 (Israel)

    2011-10-15

    We consider the propagation of classical and nonclassical light in multimode optical waveguides. We focus on the evolution of the few-photon correlation functions, which, much as the light-intensity distribution in such systems, evolve in a periodic manner, culminating in the ''revival'' of the initial correlation pattern at the end of each period. It is found that when the input state possesses nontrivial symmetries, the correlation revival period can be longer than that of the intensity, and thus the same intensity pattern can display different correlation patterns. We experimentally demonstrate this effect for classical, pseudothermal light, and compare the results with the predictions for nonclassical, quantum light.

  5. Multimode waveguide based directional coupler

    Science.gov (United States)

    Ahmed, Rajib; Rifat, Ahmmed A.; Sabouri, Aydin; Al-Qattan, Bader; Essa, Khamis; Butt, Haider

    2016-07-01

    The Silicon-on-Insulator (SOI) based platform overcomes limitations of the previous copper and fiber based technologies. Due to its high index difference, SOI waveguide (WG) and directional couplers (DC) are widely used for high speed optical networks and hybrid Electro-Optical inter-connections; TE00-TE01, TE00-TE00 and TM00-TM00 SOI direction couplers are designed with symmetrical and asymmetrical configurations to couple with TE00, TE01 and TM00 in a multi-mode semi-triangular ring-resonator configuration which will be applicable for multi-analyte sensing. Couplers are designed with effective index method and their structural parameters are optimized with consideration to coupler length, wavelength and polarization dependence. Lastly, performance of the couplers are analyzed in terms of cross-talk, mode overlap factor, coupling length and coupling efficiency.

  6. Multimodal integration in statistical learning

    DEFF Research Database (Denmark)

    Mitchell, Aaron; Christiansen, Morten Hyllekvist; Weiss, Dan

    2014-01-01

    Recent advances in the field of statistical learning have established that learners are able to track regularities of multimodal stimuli, yet it is unknown whether the statistical computations are performed on integrated representations or on separate, unimodal representations. In the present study......, we investigated the ability of adults to integrate audio and visual input during statistical learning. We presented learners with a speech stream synchronized with a video of a speaker’s face. In the critical condition, the visual (e.g., /gi/) and auditory (e.g., /mi/) signals were occasionally...... incongruent, which we predicted would produce the McGurk illusion, resulting in the perception of an audiovisual syllable (e.g., /ni/). In this way, we used the McGurk illusion to manipulate the underlying statistical structure of the speech streams, such that perception of these illusory syllables...

  7. Multimodal signalling in estrildid finches

    DEFF Research Database (Denmark)

    Gomes, A. C. R.; Funghi, C.; Soma, M.

    2017-01-01

    radiations, and one that includes many model species for research in sexual selection and communication. We found little evidence for either joint evolution or trade-offs between song and colour ornamentation. Some negative correlations between dance repertoire and song traits may suggest a functional...... compromise, but generally courtship dance also evolved independently from other signals. Instead of correlated evolution, we found that song, dance and colour are each related to different socio-ecological traits. Song complexity evolved together with ecological generalism, song performance with investment...... in reproduction, dance with commonness and habitat type, whereas colour ornamentation was shown previously to correlate mostly with gregariousness. We conclude that multimodal signals evolve in response to various socio-ecological traits, suggesting the accumulation of distinct signalling functions....

  8. Histology image search using multimodal fusion.

    Science.gov (United States)

    Caicedo, Juan C; Vanegas, Jorge A; Páez, Fabian; González, Fabio A

    2014-10-01

    This work proposes a histology image indexing strategy based on multimodal representations obtained from the combination of visual features and associated semantic annotations. Both data modalities are complementary information sources for an image retrieval system, since visual features lack explicit semantic information and semantic terms do not usually describe the visual appearance of images. The paper proposes a novel strategy to build a fused image representation using matrix factorization algorithms and data reconstruction principles to generate a set of multimodal features. The methodology can seamlessly recover the multimodal representation of images without semantic annotations, allowing us to index new images using visual features only, and also accepting single example images as queries. Experimental evaluations on three different histology image data sets show that our strategy is a simple, yet effective approach to building multimodal representations for histology image search, and outperforms the response of the popular late fusion approach to combine information.

  9. Intelligent Multimodal Signal Adaptation System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Micro Analysis and Design (MA&D) is pleased to submit this proposal to design an Intelligent Multimodal Signal Adaptation System. This system will dynamically...

  10. Multimode siloxane polymer components for optical interconnects

    Science.gov (United States)

    Bamiedakis, Nikolaos; Beals, Joseph, IV; Penty, Richard V.; White, Ian H.; DeGroot, Jon v., Jr.; Clapp, Terry V.; De Shazer, David

    2009-02-01

    This paper presents an overview of multimode waveguides and waveguide components formed from siloxane polymer materials which are suitable for use in optical interconnection applications. The components can be cost-effectively integrated onto conventional PCBs and offer increased functionality in optical transmission. The multimode waveguides exhibit low loss (0.04 dB/cm at 850 nm) and low crosstalk (benefit from the multimode nature of the waveguides allowing low loss combining (4 dB for an 8×1 device). A large range of power splitting ratios between 30% and 75% is achieved with multimode coupler devices. Examples of system applications benefiting from the use of these components are briefly presented including a terabit capacity optical backplane, a radio-over-fibre multicasting system and a SCM passive optical network.

  11. Mediating multimodal environmental knowledge across animation techniques

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    2011-01-01

    The growing awareness of and concern about present environmental problems generate a proliferation of new forms of environmental discourses that are mediated in various ways. This chapter explores issues related to the ways in which environmental knowledge is multimodally communicated...... in the technology- mediated discourse of short animation films. This is done by employing the model of multimodal discourse analysis proposed by Van Leeuwen (2008) and Machin and Van Leeuwen (2007) to the analysis of a series of animation films focused on environmental problems. These films are united under......://www.sustainlane.com/. The multimodal discourse analysis is meant to reveal how selection and representation of environmental knowledge about social actors, social actions, resources, time and space are influenced by animation techniques. Furthermore, in the context of this multimodal discourse analysis, their influence upon...

  12. Multi-Modal Treatment of Nocturnal Enuresis.

    Science.gov (United States)

    Mohr, Caroline; Sharpley, Christopher F.

    1988-01-01

    The article reports a multimodal treatment of nocturnal enuresis and anxious behavior in a mildly mentally retarded woman. Behavioral treatment and removal of caffeine from the subject's diet eliminated both nocturnal enuresis and anxious behavior. (Author/DB)

  13. Engineering gestures for multimodal user interfaces

    OpenAIRE

    Echtler, Florian; Kammer, Dietrich; Vanacken, Davy; Hoste, Lode; Signer, Beat

    2014-01-01

    Despite increased presence of gestural and multimodal user interfaces in research as well as daily life, development of such systems still mostly relies on programming concepts which have emerged from classic WIMP user interfaces. This workshop proposes to explore the gap between attempts to formalize and structure development for multimodal interfaces in the research community on the one hand and the lack of adoption of these formal languages and frameworks by practitioners and other researc...

  14. Esthesioneuroblastoma: Multimodal management and review of literature

    Science.gov (United States)

    Kumar, Ritesh

    2015-01-01

    Esthesioneuroblastoma (ENB) is a rare malignant neoplasm arising from the olfactory neuroepithelium. ENB constitutes only 3% of all malignant intranasal neoplasm. Because of the rarity, the number of patients of ENB treated in individual departments is small. Most of these patients presents in locally advanced stages and require multimodality treatment in form of surgery, chemotherapy and radiotherapy. Multimodality approach with a risk-adapted strategy is required to achieve good control rates while minimizing treatment related toxicity. PMID:26380824

  15. Quantifying Quality Aspects of Multimodal Interactive Systems

    CERN Document Server

    Kühnel, Christine

    2012-01-01

    This book systematically addresses the quantification of quality aspects of multimodal interactive systems. The conceptual structure is based on a schematic view on human-computer interaction where the user interacts with the system and perceives it via input and output interfaces. Thus, aspects of multimodal interaction are analyzed first, followed by a discussion of the evaluation of output and input and concluding with a view on the evaluation of a complete system.

  16. Multimodal pain stimulation of the gastrointestinal tract

    Institute of Scientific and Technical Information of China (English)

    Asbjφrn Mohr Drewes; Hans Gregersen

    2006-01-01

    Understanding and characterization of pain and other sensory symptoms are among the most important issues in the diagnosis and assessment of patient with gastrointestinal disorders. Methods to evoke and assess experimental pain have recently developed into a new area with the possibility for multimodal stimulation (e.g.,electrical, mechanical, thermal and chemical stimulation)of different nerves and pain pathways in the human gut. Such methods mimic to a high degree the pain experienced in the clinic. Multimodal pain methods have increased our basic understanding of different peripheral receptors in the gut in health and disease. Together with advanced muscle analysis, the methods have increased our understanding of receptors sensitive to mechanical,chemical and temperature stimuli in diseases, such as systemic sclerosis and diabetes. The methods can also be used to unravel central pain mechanisms, such as those involved in allodynia, hyperalgesia and referred pain. Abnormalities in central pain mechanisms are often seen in patients with chronic gut pain and hence methods relying on multimodal pain stimulation may help to understand the symptoms in these patients.Sex differences have been observed in several diseases of the gut, and differences in central pain processing between males and females have been hypothesized using multimodal pain stimulations. Finally, multimodal methods have recently been used to gain more insight into the effect of drugs against pain in the GI tract.Hence, the multimodal methods undoubtedly represents a major step forward in the future characterization and treatment of patients with various diseases of the gut.

  17. [Multimodal surgical intervention to improve outcome after colon cancer].

    Science.gov (United States)

    Hohenberger, Werner; O'Connell, Ronan; Iversen, Lene Hjerrild

    2011-04-04

    Surgeons have focused their efforts towards improving outcome following surgical treatment of rectal cancer by implementation of the total mesorectal excision technique, among others. Great progress has been made, and in Denmark and Sweden survival rates for rectal cancer now exceed those for colon cancer. Recently, the significance of complete mesocolic excision in colonic cancer has been acknowledged. Treatment of colon cancer is challenging in patients with locally advanced disease, peritoneal carcinomatosis, and emergency presentation, all of which are described.

  18. Parenting Skills: Tips for Raising Teens

    Science.gov (United States)

    ... adult is no small task. Understand the parenting skills you need to help guide your teen. By ... teen and encourage responsible behavior. Use these parenting skills to deal with the challenges of raising a ...

  19. Raise the Floor When Remodeling Science Labs

    Science.gov (United States)

    Nation's Schools, 1972

    1972-01-01

    A new remodeling idea adopts the concept of raised floor covering gas, water, electrical, and drain lines. The accessible floor has removable panels set into an adjustable support frame 24 inches above a concrete subfloor. (Author)

  20. Could Parkinson's Disease Raise Stroke Risk?

    Science.gov (United States)

    ... news/fullstory_163751.html Could Parkinson's Disease Raise Stroke Risk? Or is the link the other way ... link between Parkinson's disease and the risk for stroke. However, the study can't prove that one ...

  1. 'The Pill' May Raise Depression Risk

    Science.gov (United States)

    ... news/fullstory_161206.html 'The Pill' May Raise Depression Risk Study also ties hormonal patches, IUDs to ... may have a slightly higher risk of developing depression -- and teenagers may be most vulnerable, a large ...

  2. Sex in the Curriculum: The Effect of a Multi-Modal Sexual History-Taking Module on Medical Student Skills

    Science.gov (United States)

    Lindau, Stacy Tessler; Goodrich, Katie G.; Leitsch, Sara A.; Cook, Sandy

    2008-01-01

    Purpose: The objective of this study was to determine the effect of a multi-modal curricular intervention designed to teach sexual history-taking skills to medical students. The Association of Professors of Gynecology and Obstetrics, the National Board of Medical Examiners, and others, have identified sexual history-taking as a learning objective…

  3. Sex in the Curriculum: The Effect of a Multi-Modal Sexual History-Taking Module on Medical Student Skills

    Science.gov (United States)

    Lindau, Stacy Tessler; Goodrich, Katie G.; Leitsch, Sara A.; Cook, Sandy

    2008-01-01

    Purpose: The objective of this study was to determine the effect of a multi-modal curricular intervention designed to teach sexual history-taking skills to medical students. The Association of Professors of Gynecology and Obstetrics, the National Board of Medical Examiners, and others, have identified sexual history-taking as a learning objective…

  4. Generalized modulational instability in multimode fibers: wideband multimode parametric amplification

    CERN Document Server

    Guasoni, M

    2015-01-01

    In this paper intermodal modulational instability (IM-MI) is analyzed in a multimode fiber where several spatial and polarization modes propagate. The coupled nonlinear Schr\\"{o}dinger equations describing the modal evolution in the fiber are linearized and reduced to an eigenvalue problem. As a result, the amplification of each mode can be described by means of the eigenvalues and eigenvectors of a matrix that stores the information about the dispersion properties of the modes and the modal power distribution of the pump. Some useful analytical formulas are also provided that estimate the modal amplification as function of the system parameters. Finally, the impact of third-order dispersion and of absorbtion losses is evaluated, which reveals some surprising phenomena into the IM-MI dynamics. These outcomes generalize previous studies on bimodal-MI, related to the interaction between 2 spatial or polarization modes, to the most general case of $N>2$ interacting modes. Moreover, they pave the way towards the ...

  5. Cultural and Economic Motivation of Pig Raising Practices in Bangladesh.

    Science.gov (United States)

    Nahar, Nazmun; Uddin, Main; Gurley, Emily S; Jahangir Hossain, M; Sultana, Rebeca; Luby, Stephen P

    2015-12-01

    The interactions that pig raisers in Bangladesh have with their pigs could increase the risk of zoonotic disease transmission. Since raising pigs is a cultural taboo to Muslims, we aimed at understanding the motivation for raising pigs and resulting practices that could pose the risk of transmitting disease from pigs to humans in Bangladesh, a predominantly Muslim country. These understandings could help identify acceptable strategies to reduce the risk of disease transmission from pigs to people. To achieve this objective, we conducted 34 in-depth interviews among pig herders and backyard pig raisers in eight districts of Bangladesh. Informants explained that pig raising is an old tradition, embedded in cultural and religious beliefs and practices, the primary livelihood of pig herders, and a supplemental income of backyard pig raisers. To secure additional income, pig raisers sell feces, liver, bile, and other pig parts often used as traditional medicine. Pig raisers have limited economic ability to change the current practices that may put them at risk of exposure to diseases from their pigs. An intervention that improves their financial situation and reduces the risk of zoonotic disease may be of interest to pig raisers.

  6. Multimodal analgesia and regional anaesthesia.

    Science.gov (United States)

    Tornero Tornero, C; Fernández Rodríguez, L E; Orduña Valls, J

    Multimodal analgesia provides quality analgesia, with fewer side effects due to the use of combined analgesics or analgesic techniques. Regional anaesthesia plays a fundamental role in achieving this goal. The different techniques of regional anaesthesia that include both peripheral and central blocks in either a single dose or in continuous infusion help to modulate the nociceptive stimuli that access the central level. The emergence of the ultrasound as an effective system to perform regional anaesthesia techniques has allowed the development of new regional anaesthesia techniques that formerly could not be carried out since only neurostimulation or skin references were used. It is essential to take into account that even with effective blocking it is advisable to associate other drugs by other routes, in this way we will be able to reduce the required doses individually and attempt to achieve a synergistic, not purely additive, effect. Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Multimodality Management of Trigeminal Schwannomas.

    Science.gov (United States)

    Niranjan, Ajay; Barnett, Samuel; Anand, Vijay; Agazzi, Siviero

    2016-08-01

    Patients presenting with trigeminal schwannomas require multimodality management by a skull base surgical team that can offer expertise in both transcranial and transnasal approaches as well as radiosurgical and microsurgical strategies. Improvement in neurologic symptoms, preservation of cranial nerve function, and control of mass effect are the primary goals of management for trigeminal schwannomas. Complete surgical resection is the treatment of choice but may not be possible in all cases. Radiosurgery is an option as primary management for small- to moderate-sized tumors and can be used for postoperative residuals or recurrences. Planned surgical resection followed by SRS for residual tumor is an effective option for larger trigeminal schwannomas. The endoscopic resection is an excellent approach for patients with an extradural tumor or tumors isolated to the Meckel cave. A detailed analysis of a tumor and its surroundings based on high-quality imaging can help better estimate the expected outcome from each treatment. An expert skull base team should be able to provide precise counseling for each patient's situation for selecting the best option.

  8. Miniature multimode monolithic flextensional transducers.

    Science.gov (United States)

    Hladky-Hennion, Anne-Christine; Uzgur, A Erman; Markley, Douglas C; Safari, Ahmad; Cochran, Joe K; Newnham, Robert E

    2007-10-01

    Traditional flextensional transducers classified in seven groups based on their designs have been used extensively in 1-100 kHz range for mine hunting, fish finding, oil explorations, and biomedical applications. In this study, a new family of small, low cost underwater, and biomedical transducers has been developed. After the fabrication of transducers, finite-elements analysis (FEA) was used extensively in order to optimize these miniature versions of high-power, low-frequency flextensional transducer designs to achieve broad bandwidth for both transmitting and receiving, engineered vibration modes, and optimized acoustic directivity patterns. Transducer topologies with various shapes, cross sections, and symmetries can be fabricated through high-volume, low-cost ceramic and metal extrusion processes. Miniaturized transducers posses resonance frequencies in the range of above 1 MHz to below 10 kHz. Symmetry and design of the transducer, polling patterns, driving and receiving electrode geometries, and driving conditions have a strong effect on the vibration modes, resonance frequencies, and radiation patterns. This paper is devoted to small, multimode flextensional transducers with active shells, which combine the advantages of small size and low-cost manufacturing with control of the shape of the acoustic radiation/receive pattern. The performance of the transducers is emphasized.

  9. Squeezing Properties of the Generalized Multimode Squeezed States

    Institute of Scientific and Technical Information of China (English)

    SONGTong-Qiang

    2001-01-01

    By means of the invariance of Weyl ordering under similar transformations we derive the explicit form of the generalized multimode squeezed states.Moreover,the completeness relation and the squeezing properties of the generalized multimode squeezed states are discussed.

  10. Squeezing Properties of the Generalized Multimode Squeezed States

    Institute of Scientific and Technical Information of China (English)

    SONG Tong-Qiang

    2001-01-01

    By means of the invariance of Weyl ordering under similar transformations we derive the explicit form of the generalized multimode squeezed states. Moreover, the completeness relation and the squeezing properties of the generalized multimode squeezed states are discussed.

  11. Raising venture capital in the biopharma industry.

    Science.gov (United States)

    Leytes, Lev J

    2002-11-15

    Raising venture capital (VC) is both an art and a science. Future entrepreneurs should carefully consider the various issues of VC financing that have a strong impact on the success of their business. In addition to attracting the best venture capital firms, these issues include such subtle but important points as the timing of financing (especially of the first round), external support sources, desirable qualities of a VC firm, amount to be raised, establishing a productive interface between the founders and the venture capitalists, and most importantly the effects of well-executed VC funding on hiring senior executives and scientific leaders.

  12. Raising a gender non-conforming child.

    Science.gov (United States)

    Wisnowski, Deborah L

    2011-10-01

    This article overviews the challenges parents face raising gender non-conforming children. The author is the mother of a fifteen year old gender non-conforming (GNC) child and co-founder of Stepping Stones Support Group which organizes support programs for families of GNC. The article discusses social challenges, educational challenges and internal conflicts the author has experienced while raising her child. The author also discusses the process of founding Stepping Stones and the importance having support has played in her and her child's life.

  13. Single LP(0,n) mode excitation in multimode fibers.

    Science.gov (United States)

    Bhatia, Nitin; Rustagi, Kailash C; John, Joseph

    2014-07-14

    We analyze the transmission of a Single mode - Multimode -Multimode (SMm) fiber structure with the aim of exciting a single radial mode in the second multimode fiber. We show that by appropriate choice of the length of the central multimode fiber one can obtain > 90% of the total core power in a chosen mode. We also discuss methods of removing undesirable cladding and radiation modes and estimate tolerances for practical applications.

  14. Multimodale trafiknet i GIS (Multimodal Traffic Network in GIS)

    DEFF Research Database (Denmark)

    Kronbak, Jacob; Brems, Camilla Riff

    1996-01-01

    The report introduces the use of multi-modal traffic networks within a geographical Information System (GIS). The necessary theory of modelling multi-modal traffic network is reviewed and applied to the ARC/INFO GIS by an explorative example.......The report introduces the use of multi-modal traffic networks within a geographical Information System (GIS). The necessary theory of modelling multi-modal traffic network is reviewed and applied to the ARC/INFO GIS by an explorative example....

  15. Reference Resolution in Multi-modal Interaction: Position paper

    NARCIS (Netherlands)

    Fernando, T.; Nijholt, Antinus

    2002-01-01

    In this position paper we present our research on multimodal interaction in and with virtual environments. The aim of this presentation is to emphasize the necessity to spend more research on reference resolution in multimodal contexts. In multi-modal interaction the human conversational partner can

  16. Reference resolution in multi-modal interaction: Preliminary observations

    NARCIS (Netherlands)

    González González, G.R.; Nijholt, Antinus

    2002-01-01

    In this paper we present our research on multimodal interaction in and with virtual environments. The aim of this presentation is to emphasize the necessity to spend more research on reference resolution in multimodal contexts. In multi-modal interaction the human conversational partner can apply

  17. Reference resolution in multi-modal interaction: Preliminary observations

    NARCIS (Netherlands)

    Nijholt, A.; González González, G.R.

    2002-01-01

    In this paper we present our research on multimodal interaction in and with virtual environments. The aim of this presentation is to emphasize the necessity to spend more research on reference resolution in multimodal contexts. In multi-modal interaction the human conversational partner can apply mo

  18. [Multimodal pain therapy: principles and indications].

    Science.gov (United States)

    Arnold, B; Brinkschmidt, T; Casser, H-R; Gralow, I; Irnich, D; Klimczyk, K; Müller, G; Nagel, B; Pfingsten, M; Schiltenwolf, M; Sittl, R; Söllner, W

    2009-04-01

    Multimodal pain therapy describes an integrated multidisciplinary treatment in small groups with a closely coordinated therapeutical approach. Somatic and psychotherapeutic procedures cooperate with physical and psychological training programs. For chronic pain syndromes with complex somatic, psychological and social consequences, a therapeutic intensity of at least 100 hours is recommended. Under these conditions multimodal pain therapy has proven to be more effective than other kinds of treatment. If monodisciplinary and/or outpatient therapies fail, health insurance holders have a legitimate claim to this form of therapy.Medical indications are given for patients with chronic pain syndromes, but also if there is an elevated risk of chronic pain in the early stadium of the disease and aiming at delaying the process of chronification. Relative contraindications are a lack of motivation for behavioural change, severe mental disorders or psychopathologies and addiction problems. The availability of multimodal pain treatment centers in Germany is currently insufficient.

  19. Instrumentation challenges in multi-modality imaging

    Energy Technology Data Exchange (ETDEWEB)

    Brasse, D., E-mail: david.brasse@iphc.cnrs.fr [Institut Pluridisciplinaire Hubert Curien, Université de Strasbourg, 23 rue du Loess 67037 Strasbourg (France); CNRS, UMR7178, 67037 Strasbourg (France); Boisson, F. [Institut Pluridisciplinaire Hubert Curien, Université de Strasbourg, 23 rue du Loess 67037 Strasbourg (France); CNRS, UMR7178, 67037 Strasbourg (France)

    2016-02-11

    Based on different physical principles, imaging procedures currently used in both clinical and preclinical applications present different performance that allow researchers to achieve a large number of studies. However, the relevance of obtaining a maximum of information relating to the same subject is undeniable. The last two decades have thus seen the advent of a full-fledged research axis, the multimodal in vivo imaging. Whether from an instrumentation point of view, for medical research or the development of new probes, all these research works illustrate the growing interest of the scientific community for multimodal imaging, which can be approached with different backgrounds and perspectives from engineers to end-users point of views. In the present review, we discuss the multimodal imaging concept, which focuses not only on PET/CT and PET/MRI instrumentation but also on recent investigations of what could become a possible future in the field.

  20. Multimodality Data Integration in Epilepsy

    Directory of Open Access Journals (Sweden)

    Otto Muzik

    2007-01-01

    Full Text Available An important goal of software development in the medical field is the design of methods which are able to integrate information obtained from various imaging and nonimaging modalities into a cohesive framework in order to understand the results of qualitatively different measurements in a larger context. Moreover, it is essential to assess the various features of the data quantitatively so that relationships in anatomical and functional domains between complementing modalities can be expressed mathematically. This paper presents a clinically feasible software environment for the quantitative assessment of the relationship among biochemical functions as assessed by PET imaging and electrophysiological parameters derived from intracranial EEG. Based on the developed software tools, quantitative results obtained from individual modalities can be merged into a data structure allowing a consistent framework for advanced data mining techniques and 3D visualization. Moreover, an effort was made to derive quantitative variables (such as the spatial proximity index, SPI characterizing the relationship between complementing modalities on a more generic level as a prerequisite for efficient data mining strategies. We describe the implementation of this software environment in twelve children (mean age 5.2±4.3 years with medically intractable partial epilepsy who underwent both high-resolution structural MR and functional PET imaging. Our experiments demonstrate that our approach will lead to a better understanding of the mechanisms of epileptogenesis and might ultimately have an impact on treatment. Moreover, our software environment holds promise to be useful in many other neurological disorders, where integration of multimodality data is crucial for a better understanding of the underlying disease mechanisms.

  1. Pragmatics, Awareness Raising, and the Cooperative Principle

    Science.gov (United States)

    Murray, Neil

    2010-01-01

    In recent years, pedagogical pragmatics has sought to improve the effectiveness with which learners express and interpret meaning, through awareness-raising activities that draw on authentic materials and break away from simplistic explanations of form-function correspondences. By and large, these efforts have been informed by an inductive…

  2. PROCEDURE FOR LOCALLY RAISING THE GROUND ARTIFICIALLY

    NARCIS (Netherlands)

    Schuiling, R.D.

    1991-01-01

    Abstract of corresponding document: WO 8909251 (A1) The present invention relates to a procedure for locally raising the ground artificially, wherein an equivalent quantity of the calcite (CaCO3) present in the porous underground limestone formations is converted into gypsum (CaSO4.2H2O) by inje

  3. Raising Butterflies from Your Own Garden.

    Science.gov (United States)

    Howley-Pfeifer, Patricia

    2002-01-01

    Describes how raising monarch, black swallowtail, and mourning cloak butterflies in a kindergarten class garden can provide opportunities for observation experiences. Includes detailed steps for instruction and describes stages of growth. Excerpts children's journal dictations to illustrate ways to support the discovery process. Describes related…

  4. Raising Happy Kids on a Reasonable Budget.

    Science.gov (United States)

    Gallagher, Patricia C.

    This guide shows parents how to cut expenses and save on the cost of raising a family. Chapter 1 offers many ways to stretch food dollars and discusses buying in bulk, eating out, using coupons, buying wholesale, and gardening. Cost-cutting clothing ideas covered in chapter 2 include buying at secondhand stores and consignment shops, outlet…

  5. People on the Farm: Raising Beef Cattle.

    Science.gov (United States)

    Crain, Robert L.

    This booklet provides information on raising beef cattle through profiles of two families, the Ritschards of Colorado and the Schuttes of Missouri. Through descriptions of daily life for these families, the booklet discusses the way of life on modern beef cattle farms and the problems and decisions faced by farmers. The booklet explains how…

  6. Flo: Raising Family Awareness about Electricity Use

    NARCIS (Netherlands)

    Shrubsole, P.A.; Lavrysen, T.; Janse, M.D.; Weda, J.

    2012-01-01

    In this case study, we designed a family game to explore whether this could be an effective and fun approach for raising the awareness of family members towards their energy use and, in the long run, to provide an effective tool for affecting their habits regarding sustainable behavior. The design o

  7. Raising Environmental Awareness among Miners in Iran

    Science.gov (United States)

    Mozaffari, Ezatollah

    2013-01-01

    Generation of waste is inevitable but controllable in minerals industry. The aim of this research is to find ways for raising environmental awareness among miners. Miners' attitude towards environmental mining has been investigated. A survey has been done collecting mine managers' point of view coupled with current trend on mine waste management…

  8. Raising Butterflies from Your Own Garden.

    Science.gov (United States)

    Howley-Pfeifer, Patricia

    2002-01-01

    Describes how raising monarch, black swallowtail, and mourning cloak butterflies in a kindergarten class garden can provide opportunities for observation experiences. Includes detailed steps for instruction and describes stages of growth. Excerpts children's journal dictations to illustrate ways to support the discovery process. Describes related…

  9. Consciousness-Raising, Error Correction and Proofreading

    Science.gov (United States)

    O'Brien, Josephine

    2015-01-01

    The paper discusses the impact of developing a consciousness-raising approach in error correction at the sentence level to improve students' proofreading ability. Learners of English in a foreign language environment often rely on translation as a composing tool and while this may act as a scaffold and provide some support, it frequently leads to…

  10. RAISING BRAND AWARENEES THROUGH INTERNET MARKETING TOOLS

    Directory of Open Access Journals (Sweden)

    Margarita Išoraitė

    2016-05-01

    Full Text Available The article analyzes the opinions of different authors on brand awareness raising. It also describes and analyzes the concept of internet marketing, the implementation. The analysis of the most urgent and the most effective online marketing tools brand awareness. Article analysis website; internet advertising; social networks; search engine optimization.

  11. Fund-Raising as a Persuasive Act.

    Science.gov (United States)

    Jeffrey, Robert C.

    1999-01-01

    Describes two successful fund-raising campaigns conducted by the new Dean of the College of Communication at the University of Texas, Austin. Describes strategies used as a novice fund-raiser with no help from a development officer. Suggests that the Aristotelian principles will serve anyone well if he or she is willing to give it the time and…

  12. Multimodal surveillance sensors, algorithms, and systems

    CERN Document Server

    Zhu, Zhigang

    2007-01-01

    From front-end sensors to systems and environmental issues, this practical resource guides you through the many facets of multimodal surveillance. The book examines thermal, vibration, video, and audio sensors in a broad context of civilian and military applications. This cutting-edge volume provides an in-depth treatment of data fusion algorithms that takes you to the core of multimodal surveillance, biometrics, and sentient computing. The book discusses such people and activity topics as tracking people and vehicles and identifying individuals by their speech.Systems designers benefit from d

  13. Detecting multimode entanglement by symplectic uncertainty relations

    CERN Document Server

    Serafini, A

    2005-01-01

    Quantities invariant under symplectic (i.e. linear and canonical) transformations are constructed as functions of the second moments of N pairs of bosonic field operators. A general multimode uncertainty relation is derived as a necessary constraint on such symplectic invariants. In turn, necessary conditions for the separability of multimode continuous variable states under (MxN)-mode bipartitions are derived from the uncertainty relation. These conditions are proven to be necessary and sufficient for (1+N)-mode Gaussian states and for (M+N)-mode bisymmetric Gaussian states.

  14. Strategy development management of Multimodal Transport Network

    Directory of Open Access Journals (Sweden)

    Nesterova Natalia S.

    2016-01-01

    Full Text Available The article gives a brief overview of works on the development of transport infrastructure for multimodal transportation and integration of Russian transport system into the international transport corridors. The technology for control of the strategy, that changes shape and capacity of Multi-modal Transport Network (MTN, is considered as part of the methodology for designing and development of MTN. This technology allows to carry out strategic and operational management of the strategy implementation based on the use of the balanced scorecard.

  15. Translating board games: multimodality and play

    OpenAIRE

    Evans, Jonathan

    2013-01-01

    This article examines the translation of modern board games as multimodal texts. It argues that games are produced in the interaction between players, pieces and rules, making them a participatory form of text. The article analyses the elements of the rules and in-game text in order to show how the multimodal elements of the text are essential to the experience of the game and how they affect the translation process. Many games are designed to be translated for many markets and avoid unnecess...

  16. Applying Connectivist Principles and the Task-Based Approach to the Design of a Multimodal Didactic Unit

    Directory of Open Access Journals (Sweden)

    Yeraldine Aldana Gutiérrez

    2012-12-01

    Full Text Available This article describes the pedagogical intervention developed in a public school as part of the research “Exploring Communications Practices through Facebook as a Mediatic Device”, framed within the computer mediated communications field. Twelve ninth graders’ communications practices were explored and addressed by means of multimodal technological resources and tasks based on the connectivist learning view. As a result, a didactic unit was designed in the form of the digital book Diverface. This one in turn displayed information through different media channels and semiotic elements to support its multimodal features. Teachers and students might thus need to reconstruct an alternative multimodal literacy so that they can produce and interpret texts of the same nature in online environments.

  17. [Multimodal pain therapy for treatment of chronic pain syndrome. Consensus paper of the ad hoc commission on multimodal interdisciplinary pain management of the German Pain Society on treatment contents].

    Science.gov (United States)

    Arnold, B; Brinkschmidt, T; Casser, H-R; Diezemann, A; Gralow, I; Irnich, D; Kaiser, U; Klasen, B; Klimczyk, K; Lutz, J; Nagel, B; Pfingsten, M; Sabatowski, R; Schesser, R; Schiltenwolf, M; Seeger, D; Söllner, W

    2014-10-01

    Multimodal pain management is a comprehensive treatment of complex chronic pain syndromes. In addition to medical therapy various other specialized therapeutic interventions based on the biopsychosocial model of pain origin and chronic pain development, are added. During the last few years treatment centers for chronic pain have been established throughout Germany. Multimodal pain management has been included in the official catalogue of the recognized medical procedures for day clinic units as well as for inpatient pain management. In daily practice there is, however, still a lack of clarity and of consistency about the components that multimodal pain management should contain. This is the reason for the ad hoc commission on multimodal interdisciplinary pain management of the German Pain Society to propose the following position paper that has been worked out in a multilevel and interdisciplinary consensus process. The paper describes the mandatory treatment measures in the four core disciplines of multimodal pain management, pain medicine, psychotherapy, exercise therapy including physiotherapy and assistant medical professions including nurses.

  18. Treating psychological trauma in first responders: a multi-modal paradigm.

    Science.gov (United States)

    Flannery, Raymond B

    2015-06-01

    Responding to critical incidents may result in 5.9-22% of first responders developing psychological trauma and posttraumatic stress disorder. These impacts may be physical, mental, and/or behavioral. This population remains at risk, given the daily occurrence of critical incidents. Current treatments, primarily focused on combat and rape victims, have included single and double interventions, which have proven helpful to some but not all victims and one standard of care has remained elusive. However, even though the need is established, research on the treatment interventions of first responders has been limited. Given the multiplicity of impacts from psychological trauma and the inadequacies of responder treatment intervention research thus far, this paper proposes a paradigmatic shift from single/double treatment interventions to a multi-modal approach to first responder victim needs. A conceptual framework based on psychological trauma is presented and possible multi-modal interventions selected from the limited, extant first responder research are utilized to illustrate how the approach would work and to encourage clinical and experimental research into first responder treatment needs.

  19. Connecting multimodality in human communication.

    Science.gov (United States)

    Regenbogen, Christina; Habel, Ute; Kellermann, Thilo

    2013-01-01

    DCM analysis instead showed a pronounced top-down control. Remarkably, all connections from the dmPFC to the three other regions were modulated by the experimental conditions. This observation is in line with the presumed role of the dmPFC in the allocation of attention. In contrary, all incoming connections to the AG were modulated, indicating its key role in integrating multimodal information and supporting comprehension. Notably, the input from the FFG to the AG was enhanced when facial expressions conveyed emotional information. These findings serve as preliminary results in understanding network dynamics in human emotional communication and empathy.

  20. An Evaluation of the Adults and Children Together (ACT) against Violence Parents Raising Safe Kids Program

    Science.gov (United States)

    Portwood, Sharon G.; Lambert, Richard G.; Abrams, Lyndon P.; Nelson, Ellissa Brooks

    2011-01-01

    This study evaluated the effectiveness of the Adults and Children Together (ACT) Against Violence Parents Raising Safe Kids program, developed by the American Psychological Association in collaboration with the National Association for the Education of Young Children, as an economical primary prevention intervention for child maltreatment. Using…

  1. Raising Citizens: Parenting Education Classes and Somali Mothers' Experiences of Childrearing in Canada

    Science.gov (United States)

    Fellin, Melissa

    2015-01-01

    Mothers are viewed as the people who are raising future citizens of Canada; therefore, their parenting practices are being targeted for intervention by civic organizations funded by the state. In this article, I argue that modernity narratives and neoliberalism approaches to mothering inform parenting education classes for Somali refugee women to…

  2. Shifting the Bell Curve: The Benefits and Costs of Raising Student Achievement

    Science.gov (United States)

    Yeh, Stuart S.

    2009-01-01

    Benefit-cost analysis was conducted to estimate the increase in earnings, increased tax revenues, value of less crime, and reductions in welfare costs attributable to nationwide implementation of rapid assessment, a promising intervention for raising student achievement in math and reading. Results suggest that social benefits would exceed total…

  3. Head raising analysis and case revaluation

    Directory of Open Access Journals (Sweden)

    Ager Gondra

    2015-12-01

    Full Text Available This paper shows that Basque relative clause construction follows the Head Raising Analysis: the CP of the relative clause is a complement to the external D and the Head of the relative clause, base-generated inside the TP, moves to the specifier position of the CP. This analysis predicts that the raised DPwill show a TP-internal Case. However, this is not the case, and the DP manifests the Case associated with the main clause. In order to address these Case inconsistencies, Precariousness Condition is proposed. This condition states that a DCase valued u-feature is precarious until it is sent to Spell-Out and therefore, the value is visible for further targeting by a c-commanding Probe.  Evidence for this multiple Agree operation comes from a DP long distance extraction.

  4. Love that Book: Multimodal Response to Literature

    Science.gov (United States)

    Dalton, Bridget; Grisham, Dana L.

    2013-01-01

    Composing with different modes--image, sound, video and the written word--to respond to and analyze literary and informational text helps students develop as readers and digital communicators. This article showcases five multimodal strategies for engaging children in rich literature-based learning using digital tools and Internet resources.

  5. Design Options for Multimodal Web Applications

    Science.gov (United States)

    Stanciulescu, Adrian; Vanderdonckt, Jean

    The capabilities of multimodal applications running on the web are well de-lineated since they are mainly constrained by what their underlying standard mark up language offers, as opposed to hand-made multimodal applications. As the experience in developing such multimodal web applications is growing, the need arises to identify and define major design options of such application to pave the way to a structured development life cycle. This paper provides a design space of independent design options for multimodal web applications based on three types of modalities: graphical, vocal, tactile, and combined. On the one hand, these design options may provide designers with some explicit guidance on what to decide or not for their future user interface, while exploring various design alternatives. On the other hand, these design options have been implemented as graph transformations per-formed on a user interface model represented as a graph. Thanks to a transformation engine, it allows designers to play with the different values of each design option, to preview the results of the transformation, and to obtain the corresponding code on-demand

  6. Love that Book: Multimodal Response to Literature

    Science.gov (United States)

    Dalton, Bridget; Grisham, Dana L.

    2013-01-01

    Composing with different modes--image, sound, video and the written word--to respond to and analyze literary and informational text helps students develop as readers and digital communicators. This article showcases five multimodal strategies for engaging children in rich literature-based learning using digital tools and Internet resources.

  7. Multimodal representations in collaborative history learning

    NARCIS (Netherlands)

    Prangsma, M.E.

    2007-01-01

    This dissertation focuses on the question: How does making and connecting different types of multimodal representations affect the collaborative learning process and the acquisition of a chronological frame of reference in 12 to 14-year olds in pre vocational education? A chronological frame of refe

  8. A Multimodal Interaction Framework for Blended Learning

    DEFF Research Database (Denmark)

    Vidakis, Nikolaos; Kalafatis, Konstantinos; Triantafyllidis, Georgios

    2017-01-01

    Humans interact with each other by utilizing the five basic senses as input modalities, whereas sounds, gestures, facial expressions etc. are utilized as output modalities. Multimodal interaction is also used between humans and their surrounding environment, although enhanced with further senses ...... framework enabling deployment of a vast variety of modalities, tailored appropriately for use in blended learning environment....

  9. Controllable spatiotemporal nonlinear effects in multimode fibres

    Science.gov (United States)

    Wright, Logan G.; Christodoulides, Demetrios N.; Wise, Frank W.

    2015-05-01

    Multimode fibres are of interest for next-generation telecommunications systems and the construction of high-energy fibre lasers. However, relatively little work has explored nonlinear pulse propagation in multimode fibres. Here, we consider highly nonlinear ultrashort pulse propagation in the anomalous-dispersion regime of a graded-index multimode fibre. Low modal dispersion and strong nonlinear coupling between the fibre's many spatial modes result in interesting behaviour. We observe spatiotemporal effects reminiscent of nonlinear optics in bulk media—self-focusing and multiple filamentation—at a fraction of the usual power. By adjusting the spatial initial conditions, we generate on-demand, megawatt, ultrashort pulses tunable between 1,550 and 2,200 nm dispersive waves over one octave; intense combs of visible light; and a multi-octave-spanning supercontinuum. Our results indicate that multimode fibres present unique opportunities for observing new spatiotemporal dynamics and phenomena. They also enable the realization of a new type of tunable, broadband fibre source that could be useful for many applications.

  10. Multimode waveguide speckle patterns for compressive sensing.

    Science.gov (United States)

    Valley, George C; Sefler, George A; Justin Shaw, T

    2016-06-01

    Compressive sensing (CS) of sparse gigahertz-band RF signals using microwave photonics may achieve better performances with smaller size, weight, and power than electronic CS or conventional Nyquist rate sampling. The critical element in a CS system is the device that produces the CS measurement matrix (MM). We show that passive speckle patterns in multimode waveguides potentially provide excellent MMs for CS. We measure and calculate the MM for a multimode fiber and perform simulations using this MM in a CS system. We show that the speckle MM exhibits the sharp phase transition and coherence properties needed for CS and that these properties are similar to those of a sub-Gaussian MM with the same mean and standard deviation. We calculate the MM for a multimode planar waveguide and find dimensions of the planar guide that give a speckle MM with a performance similar to that of the multimode fiber. The CS simulations show that all measured and calculated speckle MMs exhibit a robust performance with equal amplitude signals that are sparse in time, in frequency, and in wavelets (Haar wavelet transform). The planar waveguide results indicate a path to a microwave photonic integrated circuit for measuring sparse gigahertz-band RF signals using CS.

  11. The Arts, New Literacies, and Multimodality

    Science.gov (United States)

    Albers, Peggy; Harste, Jerome C.

    2007-01-01

    The arts, multimodality, and new literacies studies, each with its own distinct principles, together can redefine literacy and what constitutes being literate. To recognize the roles that each of these fields plays in literacy necessitates a cultural shift in reading, interpreting, creating, and responding to a range of multimedia messages. The…

  12. Multimode interferometer for guided matter waves.

    Science.gov (United States)

    Andersson, Erika; Calarco, Tommaso; Folman, Ron; Andersson, Mauritz; Hessmo, Björn; Schmiedmayer, Jörg

    2002-03-11

    Atoms can be trapped and guided with electromagnetic fields, using nanofabricated structures. We describe the fundamental features of an interferometer for guided matter waves, built of two combined Y-shaped beam splitters. We find that such a device is expected to exhibit high contrast fringes even in a multimode regime, analogous to a white light interferometer.

  13. Brain-Computer Interaction: Can Multimodality Help?

    NARCIS (Netherlands)

    Nijholt, Antinus; Allison, Brendan Z.; Jacobs, Robert J.K.; Vidal, E.; Gatica-Perez, D.; Morency, L.P.; Sebe, N.

    2011-01-01

    This paper is a short introduction to a special ICMI session on brain-computer interaction. During this paper, we first discuss problems, solutions, and a five-year view for brain-computer interaction. We then talk further about unique issues with multimodal and hybrid brain-computer interfaces,

  14. Single versus multimodality training basic laparoscopic skills

    NARCIS (Netherlands)

    Brinkman, W.M.; Havermans, S.Y.; Buzink, S.N.; Botden, S.M.B.I.; Jakimowicz, J.J.; Schoot, B.C.

    2012-01-01

    Introduction - Even though literature provides compelling evidence of the value of simulators for training of basic laparoscopic skills, the best way to incorporate them into a surgical curriculum is unclear. This study compares the training outcome of single modality training with multimodality tra

  15. Academic Knowledge Construction and Multimodal Curriculum Development

    Science.gov (United States)

    Loveless, Douglas J., Ed.; Griffith, Bryant, Ed.; Bérci, Margaret E., Ed.; Ortlieb, Evan, Ed.; Sullivan, Pamela, Ed.

    2014-01-01

    While incorporating digital technologies into the classroom has offered new ways of teaching and learning into educational processes, it is essential to take a look at how the digital shift impacts teachers, school administration, and curriculum development. "Academic Knowledge Construction and Multimodal Curriculum Development" presents…

  16. Multimodal Dialogue Management - State of the art

    NARCIS (Netherlands)

    Bui Huu Trung, B.H.T.

    This report is about the state of the art in dialogue management. We first introduce an overview of a multimodal dialogue system and its components. Second, four main approaches to dialogue management are described (finite-state and frame-based, information-state based and probabilistic, plan-based,

  17. Reconceptualising Poetry as a Multimodal Genre

    Science.gov (United States)

    Newfield, Denise; D'abdon, Raphael

    2015-01-01

    This conceptual article theorises the role of poetry in English classrooms from a multimodal perspective. It discusses the gap between the practices of poetry inside and outside South African schools, particularly where English is taught as an additional language (EAL). The former is shown to be monomodal and prescriptive, while the latter is…

  18. Multimodal Interaction with a Virtual Guide

    NARCIS (Netherlands)

    Hofs, D.H.W.; Theune, Mariet; op den Akker, Hendrikus J.A.

    2008-01-01

    We demonstrate the Virtual Guide, an embodied conversational agent that gives directions in a 3D environment. We briefly describe multimodal dialogue management, language and gesture generation, and a special feature of the Virtual Guide: the ability to align her linguistic style to the user’s level

  19. Visible Quotation : The multimodal expression of viewpoint

    NARCIS (Netherlands)

    Stec, Kashmiri Kristina Mukti

    2016-01-01

    The central theme of this dissertation is multimodal viewpoint – that is, the way that bodily actions work together with spoken language to express the perspective of characters within a narrative. Drawing on research in cognitive linguistics, conversation analysis, gesture studies, and signed langu

  20. Multimodal representations in collaborative history learning

    NARCIS (Netherlands)

    Prangsma, M.E.

    2007-01-01

    This dissertation focuses on the question: How does making and connecting different types of multimodal representations affect the collaborative learning process and the acquisition of a chronological frame of reference in 12 to 14-year olds in pre vocational education? A chronological frame of refe

  1. Single versus multimodality training basic laparoscopic skills

    NARCIS (Netherlands)

    Brinkman, W.M.; Havermans, S.Y.; Buzink, S.N.; Botden, S.M.B.I.; Jakimowicz, J.J.; Schoot, B.C.

    2012-01-01

    Introduction - Even though literature provides compelling evidence of the value of simulators for training of basic laparoscopic skills, the best way to incorporate them into a surgical curriculum is unclear. This study compares the training outcome of single modality training with multimodality

  2. Academic Knowledge Construction and Multimodal Curriculum Development

    Science.gov (United States)

    Loveless, Douglas J., Ed.; Griffith, Bryant, Ed.; Bérci, Margaret E., Ed.; Ortlieb, Evan, Ed.; Sullivan, Pamela, Ed.

    2014-01-01

    While incorporating digital technologies into the classroom has offered new ways of teaching and learning into educational processes, it is essential to take a look at how the digital shift impacts teachers, school administration, and curriculum development. "Academic Knowledge Construction and Multimodal Curriculum Development" presents…

  3. Equilibrium models in multimodal container transport systems

    NARCIS (Netherlands)

    Corman, F.; Viti, F.; Negenborn, R.R.

    2015-01-01

    Optimizing the performance of multimodal freight transport networks involves adequately balancing the interplay between costs, volumes, times of departure and arrival, and times of travel. In order to study this interplay, we propose an assignment model that is able to efficiently determine flows an

  4. Multimodal representations in collaborative history learning

    NARCIS (Netherlands)

    Prangsma, M.E.

    2007-01-01

    This dissertation focuses on the question: How does making and connecting different types of multimodal representations affect the collaborative learning process and the acquisition of a chronological frame of reference in 12 to 14-year olds in pre vocational education? A chronological frame of

  5. Interactive Multimodal Learning for Venue Recommendation

    NARCIS (Netherlands)

    Zahálka, J.; Rudinac, S.; Worring, M.

    2015-01-01

    In this paper, we propose City Melange, an interactive and multimodal content-based venue explorer. Our framework matches the interacting user to the users of social media platforms exhibiting similar taste. The data collection integrates location-based social networks such as Foursquare with genera

  6. Affective multimodal mirror: sensing and eliciting laughter

    NARCIS (Netherlands)

    Melder, W.A.; Truong, K.P.; Uyl, M. den; Leeuwen, D.A. van; Neerincx, M.A.; Loos, L.R.; Stock Plum, B.

    2007-01-01

    In this paper, we present a multimodal affective mirror that senses and elicits laughter. Currently, the mirror contains a vocal and a facial affect-sensing module, a component that fuses the output of these two modules to achieve a user-state assessment, a user state transition model, and a compone

  7. Acute cognitive dysfunction after hip fracture: frequency and risk factors in an optimized, multimodal, rehabilitation program

    DEFF Research Database (Denmark)

    Bitsch, Martin; Foss, Nicolai Bang; Kristensen, Billy Bjarne

    2006-01-01

    BACKGROUND: Patients undergoing hip fracture surgery often experience acute post-operative cognitive dysfunction (APOCD). The pathogenesis of APOCD is probably multifactorial, and no single intervention has been successful in its prevention. No studies have investigated the incidence of APOCD after...... hip fracture surgery in an optimized, multimodal, peri-operative rehabilitation regimen. METHODS: One hundred unselected hip fracture patients treated in a well-defined, optimized, multimodal, peri-operative rehabilitation regimen were included. Patients were tested upon admission and on the second......, fourth and seventh post-operative days with the Mini Mental State Examination (MMSE) score. RESULTS: Thirty-two per cent of patients developed a significant post-operative cognitive decline, which was associated with several pre-fracture patient characteristics, including age and cognitive function...

  8. Visual tracking for multi-modality computer-assisted image guidance

    Science.gov (United States)

    Basafa, Ehsan; Foroughi, Pezhman; Hossbach, Martin; Bhanushali, Jasmine; Stolka, Philipp

    2017-03-01

    With optical cameras, many interventional navigation tasks previously relying on EM, optical, or mechanical guidance can be performed robustly, quickly, and conveniently. We developed a family of novel guidance systems based on wide-spectrum cameras and vision algorithms for real-time tracking of interventional instruments and multi-modality markers. These navigation systems support the localization of anatomical targets, support placement of imaging probe and instruments, and provide fusion imaging. The unique architecture - low-cost, miniature, in-hand stereo vision cameras fitted directly to imaging probes - allows for an intuitive workflow that fits a wide variety of specialties such as anesthesiology, interventional radiology, interventional oncology, emergency medicine, urology, and others, many of which see increasing pressure to utilize medical imaging and especially ultrasound, but have yet to develop the requisite skills for reliable success. We developed a modular system, consisting of hardware (the Optical Head containing the mini cameras) and software (components for visual instrument tracking with or without specialized visual features, fully automated marker segmentation from a variety of 3D imaging modalities, visual observation of meshes of widely separated markers, instant automatic registration, and target tracking and guidance on real-time multi-modality fusion views). From these components, we implemented a family of distinct clinical and pre-clinical systems (for combinations of ultrasound, CT, CBCT, and MRI), most of which have international regulatory clearance for clinical use. We present technical and clinical results on phantoms, ex- and in-vivo animals, and patients.

  9. Multimode Bolometer Development for the Primordial Inflation Explorer (PIXIE) Instrument

    Science.gov (United States)

    Nagler, Peter C.; Crowley, Kevin T.; Denis, Kevin L.; Devasia, Archana M.; Fixsen, Dale J.; Kogut, Alan J.; Manos, George; Porter, Scott; Stevenson, Thomas R.

    2016-01-01

    The Primordial Inflation Explorer (PIXIE) is an Explorer-class mission concept designed to measure the polarization and absolute intensity of the cosmic microwave background [1]. In this work, we report on the design, fabrication, and performance of the multimode polarization-sensitive bolometers for PIXIE, which are based on silicon thermistors. In particular we focus on several recent advances in the detector design, including the implementation of a tensioning scheme to greatly raise the frequencies of the internal vibrational modes of the large-area, low-mass optical absorber structure consisting of a grid of micromachined, ion-implanted silicon wires. With 30 times the absorbing area of the spider-web bolometers used by Planck, the tensioning scheme enables the PIXIE bolometers to be robust in the vibrational and acoustic environment at launch of the space mission. More generally, it could be used to reduce microphonic sensitivity in other types of low temperature detectors. We also report on the performance of the PIXIE bolometers in a dark cryogenic environment.

  10. Cluster randomized trial to evaluate the effect of a multimodal hand hygiene improvement strategy in primary care.

    Science.gov (United States)

    Martín-Madrazo, Carmen; Soto-Díaz, Sonia; Cañada-Dorado, Asuncion; Salinero-Fort, Miguel Angel; Medina-Fernández, Manuela; Carrillo de Santa Pau, Enrique; Gómez-Campelo, Paloma; Abánades-Herranz, Juan Carlos

    2012-07-01

    To evaluate the effectiveness of a multimodal intervention in primary care health professionals for improved compliance with hand hygiene practice, based on the World Health Organization's 5 Moments for Health Hygiene. Cluster randomized trial, parallel 2-group study (intervention and control). Primary healthcare centers in Madrid, Spain. Eleven healthcare centers with 198 healthcare workers (general practitioners, nurses, pediatricians, auxiliary nurses, midwives, odontostomatologists, and dental hygienists). Methods. The multimodal hand hygiene improvement strategy consisted of training of healthcare workers by teaching sessions, implementation of hydroalcoholic solutions, and installation of reminder posters. The hand hygiene compliance level was evaluated by observation during regular care activities in the office visit setting, at the baseline moment, and 6 months after the intervention, all by a single external observer. The overall baseline compliance level was 8.1% (95% confidence interval [CI], 6.2-10.1), and the healthcare workers of the intervention group increased their hand hygiene compliance level by 21.6% (95% CI, 13.83-28.48) compared with the control group. This study has demonstrated that hand hygiene compliance in primary healthcare workers can be improved with a multimodal hand hygiene improvement strategy.

  11. Raising and lowering operators for quantum billiards

    Indian Academy of Sciences (India)

    AYUSH KUMAR MANDWAL; SUDHIR R JAIN

    2017-09-01

    For planar integrable billiards, the eigenstates can be classified with respect to a quantity determined by the quantum numbers. Given the quantum numbers as $m$, $n$, the index which represents a class is $c = m$ mod $kn$ for a natural number, $k$. We show here that the entire tower of states can be generated from an initially given state by the application of the operators introduced here. Thus, these operators play the same role for billiards as raising and lowering operators in angular momentum algebra.

  12. Digital Landscapes: Rethinking Poetry Interpretation in Multimodal Texts

    Directory of Open Access Journals (Sweden)

    Hessa A. Alghadeer

    2014-03-01

    Full Text Available Regardless of the fact that a great deal of scholarly studies in the field of digital humanities have emphasized implementing various modes of digital literacy, critical perspectives considering the use of multimodal texts in literature, namely poetry, have received scant attention. Beyond the boundaries of printed texts and verbal means, the present study aims to cast some light on how meaning making in poetry into multimodal contexts becomes crucial to poetry interpretation in multimodal contexts. In particular, the study tackles the theory of multimodality in regard to the poetry genre and briefly reviews its significance in relevant studies. The paper then shifts to show how the multimodalities in question enhance the transformation of print-based poetic texts into creative multimodal poetry experiences. Ultimately, the study provides insight into how digital media have altered our perspectives on definitions, interpretations, and appreciation of poetry.

  13. An Adaptive Multimodal Biometrics System using PSO

    Directory of Open Access Journals (Sweden)

    Ola M. Aly

    2013-08-01

    Full Text Available Multimodal biometric systems which fuse information from a number of biometrics, are gaining more attentions lately because they are able to overcome limitations in unimodal biometric systems. These systems are suited for high security applications. Most of the proposed multibiometric systems offer one level of security. In this paper a new approach for adaptive combination of multiple biometrics has been proposed to ensure multiple levels of security. The score level fusion rule is adapted using (PSO Particle Swarm Optimization to ensure the desired system performance corresponding to the desired level of security. The experimental results prove that the proposed multimodal biometric system is appropriate for applications that require different levels of security.

  14. A Multimodal Nanocomposite for Biomedical Imaging

    Science.gov (United States)

    Wu, Aiguo; Paunesku, Tatjana; Zhang, Zhuoli; Vogt, Stefan; Lai, Barry; Maser, Jörg; Yaghmai, Vahid; Li, Debiao; Omary, Reed A.; Woloschak, Gayle E.

    2013-01-01

    A multimodal nanocomposite was designed, synthesized with super-paramagnetic core (CoFe2O4), noble metal corona (Au), and semiconductor shell (TiO2). The sizes of core, core-corona, and core-corona-shell particles were determined by TEM. This multimodal nanocrystal showed promise as a contrast agent for two of the most widely used biomedical imaging techniques: magnetic resonance imaging (MRI) and X-ray computed tomography (CT). Finally, these nanocomposites were coated with a peptide SN-50. This led to their ready uptake by the cultured cells and targeted the nanocomposites to the pores of nuclear membrane. Inside cells, this nanocomposite retained its integrity as shown by X-ray fluorescence microscopy (XFM). Inside cells imaged by XFM we found the complex elemental signature of nanoconjugates (Ti-Co-Fe-Au) always co-registered in the 2D elemental map of the cell. PMID:24817775

  15. Comparing Paper and Tangible, Multimodal Tools

    Energy Technology Data Exchange (ETDEWEB)

    McGee, David R.(BATTELLE (PACIFIC NW LAB)); Cohen, Philip R.(Oregon Graduate Institute); Wesson, R M.(Oregon Graduate Institute); Horman, Sheilah (Oregon Graduate Institute)

    2002-01-01

    Officers in command posts maintain situational awareness using paper maps, Post-it notes, and hand-written annotations. They do so because paper is robust to failure, it is portable and malleable, it offers ultra-high resolution and supports face-to-face collaboration. We report herein on an evaluation comparing maps and Post-its with a tangible multimodal system called Rasa that augments the paper tools with sensors, enabling it to recognize the multimodal language (both written and spoken) that naturally occurs there. In this study, we found that not only do users prefer Rasa to paper alone, they find it as easy or easier to use than paper tools. Moreover, Rasa introduces no discernible overhead in its operation other than error repair, yet grants the benefits inherent in digital systems. Finally, subjects confirmed that by combining physical and computational tools, Rasa is resistant to computational failure.

  16. Multimodal interaction in image and video applications

    CERN Document Server

    Sappa, Angel D

    2013-01-01

    Traditional Pattern Recognition (PR) and Computer Vision (CV) technologies have mainly focused on full automation, even though full automation often proves elusive or unnatural in many applications, where the technology is expected to assist rather than replace the human agents. However, not all the problems can be automatically solved being the human interaction the only way to tackle those applications. Recently, multimodal human interaction has become an important field of increasing interest in the research community. Advanced man-machine interfaces with high cognitive capabilities are a hot research topic that aims at solving challenging problems in image and video applications. Actually, the idea of computer interactive systems was already proposed on the early stages of computer science. Nowadays, the ubiquity of image sensors together with the ever-increasing computing performance has open new and challenging opportunities for research in multimodal human interaction. This book aims to show how existi...

  17. Towards multimodal nonlinear optical tomography - experimental methodology

    Science.gov (United States)

    Vogler, N.; Medyukhina, A.; Latka, I.; Kemper, S.; Böhm, M.; Dietzek, B.; Popp, J.

    2011-08-01

    All-optical microspectroscopic and tomographic tools reveal great potential for clinical dermatologic diagnostics, i.e., investigation of human skin and skin diseases. While optical-coherence tomography has been complemented by two-photon fluorescence tomography and second-harmonic generation tomography, a joint study of various nonlinear optical microspectroscopies, i.e., application of the recently developed multimodal imaging approach, to sizable human-tissue samples has not been evaluated up to now. Here, we present such multimodal approach combining different nonlinear optical contrast mechanisms for imaging, namely two-photon excited fluorescence (TPF), second-harmonic generation (SHG), and coherent anti-Stokes Raman scattering (CARS) into a joint microscopic experiment. We show the potential of imaging large skin areas and discuss the information obtained in a case study comparing normal skin and keloid tissue.

  18. Fock expansion of multimode pure Gaussian states

    Energy Technology Data Exchange (ETDEWEB)

    Cariolaro, Gianfranco; Pierobon, Gianfranco, E-mail: gianfranco.pierobon@unipd.it [Università di Padova, Padova (Italy)

    2015-12-15

    The Fock expansion of multimode pure Gaussian states is derived starting from their representation as displaced and squeezed multimode vacuum states. The approach is new and appears to be simpler and more general than previous ones starting from the phase-space representation given by the characteristic or Wigner function. Fock expansion is performed in terms of easily evaluable two-variable Hermite–Kampé de Fériet polynomials. A relatively simple and compact expression for the joint statistical distribution of the photon numbers in the different modes is obtained. In particular, this result enables one to give a simple characterization of separable and entangled states, as shown for two-mode and three-mode Gaussian states.

  19. Multimodality imaging in nanomedicine and nanotheranostics

    Institute of Scientific and Technical Information of China (English)

    Xue Li; Xue-Ning Zhang; Xiao-Dong Li; Jin Chang

    2016-01-01

    Accurate diagnosis of tumors needs much detailed information. However, available single imaging modality cannot provide complete or comprehensive data. Nanomedicine is the application of nanotechnology to medicine, and multimodality imaging based on nanoparticles has been receiving extensive attention. This new hybrid imaging technology could provide complementary information from different imaging modalities using only a single injection of contrast agent. In this review, we introduce recent developments in multifunctional nanoparticles and their biomedical applications to multimodal imaging and theragnosis as nanomedicine. Most of the reviewed studies are based on the intrinsic properties of nanoparticles and their application in clinical imaging technology. The imaging techniques include positron emission tomography, single-photon emission computed tomography, computerized tomography, magnetic resonance imaging, optical imaging, and ultrasound imaging.

  20. Multimodality imaging of the postoperative shoulder

    Energy Technology Data Exchange (ETDEWEB)

    Woertler, Klaus [Technische Universitaet Muenchen, Department of Radiology, Munich (Germany)

    2007-12-15

    Multimodality imaging of the postoperative shoulder includes radiography, magnetic resonance (MR) imaging, MR arthrography, computed tomography (CT), CT arthrography, and ultrasound. Target-oriented evaluation of the postoperative shoulder necessitates familiarity with surgical techniques, their typical complications and sources of failure, knowledge of normal and abnormal postoperative findings, awareness of the advantages and weaknesses with the different radiologic techniques, and clinical information on current symptoms and function. This article reviews the most commonly used surgical procedures for treatment of anterior glenohumeral instability, lesions of the labral-bicipital complex, subacromial impingement, and rotator cuff lesions and highlights the significance of imaging findings with a view to detection of recurrent lesions and postoperative complications in a multimodality approach. (orig.)

  1. Multimodal location estimation of videos and images

    CERN Document Server

    Friedland, Gerald

    2015-01-01

    This book presents an overview of the field of multimodal location estimation, i.e. using acoustic, visual, and/or textual cues to estimate the shown location of a video recording. The authors' sample research results in this field in a unified way integrating research work on this topic that focuses on different modalities, viewpoints, and applications. The book describes fundamental methods of acoustic, visual, textual, social graph, and metadata processing as well as multimodal integration methods used for location estimation. In addition, the text covers benchmark metrics and explores the limits of the technology based on a human baseline. ·         Discusses localization of multimedia data; ·         Examines fundamental methods of establishing location metadata for images and videos (other than GPS tagging); ·         Covers Data-Driven as well as Semantic Location Estimation.

  2. Digital confocal microscopy through a multimode fiber

    CERN Document Server

    Loterie, Damien; Papadopoulos, Ioannis; Goy, Alexandre; Psaltis, Demetri; Moser, Christophe

    2015-01-01

    Acquiring high-contrast optical images deep inside biological tissues is still a challenging issue. Confocal microscopy is an important tool for biomedical imaging since it improves image quality by rejecting background signals. On the other hand, it suffers from low sensitivities in deep tissues due to light scattering. Recently, multimode fibers have provided a new paradigm for minimally invasive endoscopic imaging by controlling light propagation through them. Here we introduce a combined imaging technique where confocal images of a human epithelial cell are acquired through a multimode fiber. We achieve this by digitally engineering the excitation wavefront and then applying a virtual digital pinhole on the collected signal. In this way, we are able to acquire images through the fiber with significantly increased contrast.

  3. The multimodal argumentation of persuasive counter discourses

    DEFF Research Database (Denmark)

    Maier, Carmen Daniela

    with the characteristics and potential fallacies of the advertising discourse of commercials. The original advertising discourse is deconstructed and reconstructed with additional visual material in front of the viewers’ eyes who are instructed by a voiceover narrator what to look at and how to identify and decode...... and critical participants in the process of message understanding. In this paper, I explore the Media Bites videos that identify and discuss problematic gender issues in commercials advertising various products. I adopt a multimodal approach in my discourse analysis and I establish which semiotic modes...... are given prominence in the argumentation by examining their complex interplay and functional differentiation. The ways in which speech, writing and images articulate the counter discourse occupy a central position in the analysis. A special focus is put on the multimodal configuration of specific...

  4. Design and Implementation of a Student-Generated Virtual Museum in a Language Curriculum to Enhance Collaborative Multimodal Meaning-Making

    Science.gov (United States)

    Ho, Caroline M. L.; Nelson, Mark Evan; Mueller-Wittig, Wolfgang

    2011-01-01

    This paper reports on a study, "MUSE", which involved Secondary (Grade 7) students in designing and constructing a virtual museum. It presents a description and evaluation of the design and implementation of the technologically-mediated intervention within a language curriculum that emphasizes multimodal meaning-making and expression.…

  5. Multimode FPGA with Flexible Embedded FPUS

    OpenAIRE

    G.Murugaboopathi; S.Hariharasitaraman; Sankar, G.

    2012-01-01

    The Performance of field-programmable gate arrays used for Floating-point applications are poor due to complexity of floating-point arithmetic. Implementing floating-point units on FPGAs consume a large amount of resources. This makes FPGAs less attractive for use in floating-point intensive applications. There is a need for embedded FPUs in FPGAs. We proposed a flexible multimode embedded FPU for FPGAs that can be configured to perform a wide range of operations. The floatingpoint adder and ...

  6. Multimodal Sensor Fusion for Personnel Detection

    Science.gov (United States)

    2011-07-01

    Multimodal Sensor Fusion for Personnel Detection Xin Jin Shalabh Gupta Asok Ray Department of Mechanical Engineering The Pennsylvania State...have con- sidered relations taken only two at a time, but we propose to explore relations between higher order cliques as future work. D. Feature...detection,” IEEE Transactions on Pattern Analysis and Machine Intelligence, vol. 23, no. 6, pp. 577–589, 2001. [11] A. Ray , “Symbolic dynamic analysis

  7. Multimodal Semantic Analysis of Public Transport Movements

    Science.gov (United States)

    Halb, Wolfgang; Neuschmied, Helmut

    We present a system for multimodal, semantic analysis of person movements that incorporates data from surveillance cameras, weather sensors, and third-party information providers. The interactive demonstration will show the automated creation of a survey of passenger transfer behavior at a public transport hub. Such information is vital for public transportation planning and the presented approach increases the cost-effectiveness and data accuracy as compared to traditional methods.

  8. Multimodal CARS microscopy of structured carbohydrate biopolymers

    OpenAIRE

    Slepkov, Aaron D.; Ridsdale, Andrew; Pegoraro, Adrian F.; Moffatt, Douglas J.; Stolow, Albert

    2010-01-01

    We demonstrate the utility of multimodal coherent anti-Stokes Raman scattering (CARS) microscopy for the study of structured condensed carbohydrate systems. Simultaneous second-harmonic generation (SHG) and spectrally-scanned CARS microscopy was used to elucidate structure, alignment, and density in cellulose cotton fibers and in starch grains undergoing rapid heat-moisture swelling. Our results suggest that CARS response of the O-H stretch region (3000 cm−1–3400 cm−1), together with the comm...

  9. Performance Enhancement Of Multimodal Biometrics Using Cryptosystem

    Directory of Open Access Journals (Sweden)

    Muskaan,

    2015-06-01

    Full Text Available Multimodal biometrics means the unification of two or more uni modal biometrics so as to make the system more reliable and secure. Such systems promise better security. This study is a blend of iris and fingerprint recognition technique and their fusion at feature level. Our work comprises of two main sections: feature extraction of both modalities and fusing them before matching and finally application of an encryption technique to enhance the security of the fused template.

  10. Multi-Modal Interaction for Robotic Mules

    Science.gov (United States)

    2014-02-26

    Multi-Modal Interaction for Robotic Mules Glenn Taylor, Mike Quist , Matt Lanting, Cory Dunham, Patrick Theisen, Paul Muench Abstract...Taylor, Mike Quist , Matt Lanting, Cory Dunham, and Patrick Theisen are with Soar Technology, Inc. (corresponding author: 734-887- 7620; email: glenn...soartech.com; quist @soartech.com; matt.lanting@soartech.com; dunham@soartech.com; patrick.theisen@soartech.com Paul Muench is with US Army TARDEC

  11. Research Progress on Multimode Interference Switches

    Institute of Scientific and Technical Information of China (English)

    GAO Qing; SHENG Zhi-rui; JIANG Xiao-qing; WANG Ming-hua

    2005-01-01

    Optical switches are key components for constructing optical communication networks, so it is necessary to design optical switches and optical switch arrays with high performance and low cost. As one type of optical switches, the multimode interference(MMI) switches have received considerable attention due to their unique merits. The structures and operation principles of various types of MMI switches are introduced,and the recent progresses of MMI switches are also discussed.

  12. Automatic Multimodal Cognitive Load Measurement (AMCLM)

    Science.gov (United States)

    2011-06-01

    Final Project Report Grant AOARD-10-4029 Automatic Multimodal Cognitive Load Measurement (AMCLM) June 2011 NICTA DSIM Team...collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE 12 AUG 2011 2. REPORT TYPE 3. DATES COVERED 4...human-computer interface, such as air traffic control , in-car safety and electronic games. By quantifying the mental efforts of a person when

  13. Fiber Optic Temperature Sensor Based on Multimode Interference Effects

    Energy Technology Data Exchange (ETDEWEB)

    Aguilar-Soto, J G; Antonio-Lopez, J E; Sanchez-Mondragon, J J [Photonics and Optical Physics Laboratory, Optics Department, INAOE Apdo. Postal 51 and 216, Tonantzintla, Puebla 72000 (Mexico); May-Arrioja, D A, E-mail: darrioja@uat.edu.mx

    2011-01-01

    A novel fiber optic temperature sensor based on multimode interference was designed, fabricated and tested. The sensor is very simple and inexpensive since we only need to splice a section of multimode fiber between two single mode fibers. Using this device a sensing range of 25 deg. C to 375 deg. C is demonstrated. We should also highlight that due to the pass-band filter response of MMI devices, multiplexing is rather simple by just changing the length of the multimode section.

  14. Medical Image Retrieval: A Multimodal Approach.

    Science.gov (United States)

    Cao, Yu; Steffey, Shawn; He, Jianbiao; Xiao, Degui; Tao, Cui; Chen, Ping; Müller, Henning

    2014-01-01

    Medical imaging is becoming a vital component of war on cancer. Tremendous amounts of medical image data are captured and recorded in a digital format during cancer care and cancer research. Facing such an unprecedented volume of image data with heterogeneous image modalities, it is necessary to develop effective and efficient content-based medical image retrieval systems for cancer clinical practice and research. While substantial progress has been made in different areas of content-based image retrieval (CBIR) research, direct applications of existing CBIR techniques to the medical images produced unsatisfactory results, because of the unique characteristics of medical images. In this paper, we develop a new multimodal medical image retrieval approach based on the recent advances in the statistical graphic model and deep learning. Specifically, we first investigate a new extended probabilistic Latent Semantic Analysis model to integrate the visual and textual information from medical images to bridge the semantic gap. We then develop a new deep Boltzmann machine-based multimodal learning model to learn the joint density model from multimodal information in order to derive the missing modality. Experimental results with large volume of real-world medical images have shown that our new approach is a promising solution for the next-generation medical imaging indexing and retrieval system.

  15. THE INTERNATIONAL MULTIMODAL TRANSPORT OF HAZARDOUS GOODS AND WASTE

    Directory of Open Access Journals (Sweden)

    Giancarlo Carosso

    2012-01-01

    encountered for the transborder movement model, with particular reference to the lack of a unique interpretation of what is waste and what are goods at an international, regional and national level. This difficulty, which was already present in the first model, has negative repercussions on the second one and diminishes the efficacy and effectiveness of the interventions put into place to solve the real problems of multimodal transport which, if considered separately, would be valid. Even the controls, which are basically objectively complex and costly, come up against difficulties right from the beginning. Finally, the study case of PCBs also shows that the lack of a solution to the fundamental problem reduces the various operations inherent to transport to almost just a heavy bureaucratic practice, which suffers from practical implications that make it difficult to reach the objectives of protecting the environment and safety that the model has established. The attention of decision makers should be concentrated on two fundamental aspects. The first concerns the fundamental theme of the difference between goods and waste which, being unresolved, weakens many parts of the two models and results in the amplification of the problems on the second model. The second aspect regards the controls that should be conducted. The improvement of the technical-judicial model requires the combined study of experts, from both the judicial and technical fields."

  16. Next Generation Multi-mode Remote Sensing Radar Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This effort leverages ESTO and SBIR investments aimed at enabling fully polarimetric digital beamforming multimode radar, high resolution (wideband) measurements,...

  17. International Perspectives on Grandparents Raising Grandchildren.

    Science.gov (United States)

    Dolbin-MacNab, Megan L; Yancura, Loriena A

    2017-01-01

    Globally, it is common for grandparents to serve as surrogate parents to their grandchildren, often in response to family crises and other challenges such as poverty, disease epidemics, and migration. Despite the global nature of this intergenerational caregiving arrangement, there have been few contextually focused examinations of how grandparents' surrogate parenting roles are enacted across countries and cultures. This analytic review addresses this issue by exploring demographic and cultural contexts, needs and experiences, and formal and informal supports for grandparents raising grandchildren in four diverse countries: China, New Zealand, Romania, and South Africa. We conclude our analysis by discussing key contextual factors, and their associated interrelationships, from which future research may elucidate how cultural, historical, and sociopolitical factors uniquely shape grandparents' experiences. We also make recommendations for contextually informed policies and practice.

  18. Multimodal integration of anatomy and physiology classes: How instructors utilize multimodal teaching in their classrooms

    Science.gov (United States)

    McGraw, Gerald M., Jr.

    Multimodality is the theory of communication as it applies to social and educational semiotics (making meaning through the use of multiple signs and symbols). The term multimodality describes a communication methodology that includes multiple textual, aural, and visual applications (modes) that are woven together to create what is referred to as an artifact. Multimodal teaching methodology attempts to create a deeper meaning to course content by activating the higher cognitive areas of the student's brain, creating a more sustained retention of the information (Murray, 2009). The introduction of multimodality educational methodologies as a means to more optimally engage students has been documented within educational literature. However, studies analyzing the distribution and penetration into basic sciences, more specifically anatomy and physiology, have not been forthcoming. This study used a quantitative survey design to determine the degree to which instructors integrated multimodality teaching practices into their course curricula. The instrument used for the study was designed by the researcher based on evidence found in the literature and sent to members of three associations/societies for anatomy and physiology instructors: the Human Anatomy and Physiology Society; the iTeach Anatomy & Physiology Collaborate; and the American Physiology Society. Respondents totaled 182 instructor members of two- and four-year, private and public higher learning colleges collected from the three organizations collectively with over 13,500 members in over 925 higher learning institutions nationwide. The study concluded that the expansion of multimodal methodologies into anatomy and physiology classrooms is at the beginning of the process and that there is ample opportunity for expansion. Instructors continue to use lecture as their primary means of interaction with students. Email is still the major form of out-of-class communication for full-time instructors. Instructors with

  19. Multi-modal discriminative dictionary learning for Alzheimer's disease and mild cognitive impairment.

    Science.gov (United States)

    Li, Qing; Wu, Xia; Xu, Lele; Chen, Kewei; Yao, Li; Li, Rui

    2017-10-01

    The differentiation of mild cognitive impairment (MCI), which is the prodromal stage of Alzheimer's disease (AD), from normal control (NC) is important as the recent research emphasis on early pre-clinical stage for possible disease abnormality identification, intervention and even possible prevention. The current study puts forward a multi-modal supervised within-class-similarity discriminative dictionary learning algorithm (SCDDL) we introduced previously for distinguishing MCI from NC. The proposed new algorithm was based on weighted combination and named as multi-modality SCDDL (mSCDDL). Structural magnetic resonance imaging (sMRI), fluorodeoxyglucose (FDG) positron emission tomography (PET) and florbetapir PET data of 113 AD patients, 110 MCI patients and 117 NC subjects from the Alzheimer's disease Neuroimaging Initiative database were adopted for classification between MCI and NC, as well as between AD and NC. Adopting mSCDDL, the classification accuracy achieved 98.5% for AD vs. NC and 82.8% for MCI vs. NC, which were superior to or comparable with the results of some other state-of-the-art approaches as reported in recent multi-modality publications. The mSCDDL procedure was a promising tool in assisting early diseases diagnosis using neuroimaging data. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation

    OpenAIRE

    Merry, Alan F.; Craig S. Webster; HANNAM Jacqueline; Mitchell, Simon J.; Henderson, Robert; Reid, Papaarangi; Edwards, Kylie-Ellen; Jardim, Anisoara; Pak, Nick; Cooper, Jeremy; Hopley, Lara; Frampton, Chris; Short, Timothy G

    2011-01-01

    Objective To clinically evaluate a new patented multimodal system (SAFERSleep) designed to reduce errors in the recording and administration of drugs in anaesthesia. Design Prospective randomised open label clinical trial. Setting Five designated operating theatres in a major tertiary referral hospital. Participants Eighty nine consenting anaesthetists managing 1075 cases in which there were 10 764 drug administrations. Intervention Use of the new system (which includes customised drug trays ...

  1. Multimodality imaging of vascular anomalies.

    Science.gov (United States)

    Restrepo, Ricardo

    2013-03-01

    Vascular malformations and hemangiomas are common in children but remain a source of confusion during diagnosis, in part because of the lack of a uniform terminology. With the existing treatments for hemangiomas and vascular malformations, it is important to make the correct diagnosis initially to prevent adverse physical and emotional sequelae in not only the child but also the family. The diagnosis of vascular malformations is made primarily by the clinician and based on the physical exam. Imaging is carried out using predominantly ultrasound (US) and magnetic resonance imaging (MRI), which are complementary modalities. In most cases of vascular anomalies, US is the first line of imaging as it is readily available, less expensive, lacks ionizing radiation and does not require sedation. MRI is also of great help for further characterizing the lesions. Conventional arteriography is reserved for cases that require therapeutic intervention, more commonly for arteriovenous malformations. Radiographs usually play no role in diagnosing vascular anomalies in children. In this article, the author describes the terminology and types of hemangiomas and vascular malformations and their clinical, histological features, as well as the imaging approach and appearance.

  2. A multimodal approach to improving human papillomavirus vaccination in a community pharmacy setting

    Directory of Open Access Journals (Sweden)

    Kenneth C Hohmeier

    2016-12-01

    Full Text Available Background: Community pharmacy has become a major access point for several types of vaccinations. Despite the success of vaccination programs like influenza, pneumococcal, and herpes zoster, the rates of human papillomavirus vaccination continue to lag. Objectives: The primary objective is to describe and report on the impact of a multimodal series of pharmacist-led educational interventions on human papillomavirus vaccination rates in a community pharmacy setting. The primary outcome of this study was change in pharmacist-delivered human papillomavirus vaccination throughout a corresponding 8-week period in 2014 and 2015. Methods: A single-center, quasi-experimental interrupted time series mixed-methods pilot study was used to investigate a pharmacist-led, multimodal educational intervention approach to improve human papillomavirus vaccination rates in the community. Results: During the 2014 control period, there were no human papillomavirus vaccines dispensed or administered according to the internal prescription dispensing software. In 2015, a total of 10 patients indicated that they were vaccinated, with 9 patients receiving their first dose and 1 patient receiving his or her second dose at the pharmacy. Pharmacist recommendation was the most reported education method for increasing patient awareness of the human papillomavirus vaccine (n = 10. Conclusion: This study demonstrates pharmacist designed, educational interventions may impact human papillomavirus vaccination rates in the community. Further community-based research with larger sample sizes is warranted to verify these results. Due to the unique barriers to human papillomavirus vaccination, a multimodal and inter-professional approach such as the one presented here is warranted.

  3. Multimode fiber amplifier with tunable modal gain using a reconfigurable multimode pump.

    Science.gov (United States)

    Bai, Neng; Ip, Ezra; Wang, Ting; Li, Guifang

    2011-08-15

    We propose a method for controlling modal gain in a multimode Erbium-doped fiber amplifier (MM-EDFA) by tuning the mode content of a multimode pump. By adjusting the powers and orientation of input pump modes, modal dependent gain can be tuned over a large dynamic range. Performance impacts due to excitation of undesired pump modes, mode coupling and macro-bending loss within the erbium-doped fiber are also investigated. The MM-EDFA may potentially be a key element for long haul mode-division multiplexed transmission.

  4. Against Raising Hope of Raising the Dead: Contra Moody and Kubler-Ross.

    Science.gov (United States)

    Vicchio, Stephen J.; And Others

    1979-01-01

    Kubler-Ross and Moody have made assertions about survival after death. They argued that the subjects were not dead, but in the process of dying. An alternative explanation to this "glimpse of the afterlife" approach is offered. Other theological objections are raised to the Moody/Kubler-Ross approach. (Author)

  5. Against Raising Hope of Raising the Dead: Contra Moody and Kubler-Ross.

    Science.gov (United States)

    Vicchio, Stephen J.; And Others

    1979-01-01

    Kubler-Ross and Moody have made assertions about survival after death. They argued that the subjects were not dead, but in the process of dying. An alternative explanation to this "glimpse of the afterlife" approach is offered. Other theological objections are raised to the Moody/Kubler-Ross approach. (Author)

  6. Effectiveness of a multimodal hand hygiene campaign and obstacles to success in Addis Ababa, Ethiopia

    Science.gov (United States)

    2014-01-01

    Background Hand hygiene is the cornerstone of infection control and reduces rates of healthcare associated infection. There are limited data evaluating hand hygiene adherence and hand hygiene campaign effect in resource-limited settings, especially in Sub-Saharan Africa. This study assessed the impact of implementing a World Health Organization (WHO)-recommended multimodal hand hygiene campaign at a hospital in Ethiopia. Methods This study included a before-and-after assessment of health care worker (HCW) adherence with WHO hand hygiene guidelines. It was implemented in three phases: 1) baseline evaluation of hand hygiene adherence and hospital infrastructure; 2) intervention (distribution of commercial hand sanitizer and implementation of an abbreviated WHO-recommended multimodal hand hygiene campaign); and 3) post-intervention evaluation of HCW hand hygiene adherence. HCWs’ perceptions of the campaign and hand sanitizer tolerability were assessed through a survey performed in the post-intervention period. Results At baseline, hand washing materials were infrequently available, with only 20% of sinks having hand-washing materials. There was a significant increase in hand hygiene adherence among HCWs following implementation of a WHO multimodal hand hygiene program. Adherence increased from 2.1% at baseline (21 hand hygiene actions/1000 opportunities for hand hygiene) to 12.7% (127 hand hygiene actions /1000 opportunities for hand hygiene) after the implementation of the hand hygiene campaign (OR = 6.8, 95% CI 4.2-10.9). Hand hygiene rates significantly increased among all HCW types except attending physicians. Independent predictors of HCW hand hygiene compliance included performing hand hygiene in the post-intervention period (aOR = 5.7, 95% CI 3.5-9.3), in the emergency department (aOR = 4.9, 95% CI 2.8-8.6), during patient care that did not involve Attending Physician Rounds (aOR = 2.4, 95% CI 1.2-4.5), and after patient contact (aOR = 2

  7. Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Pattanshetty Renu

    2010-01-01

    Full Text Available Background: Despite remarkable progress that has been achieved in the recent years in the diagnosis, prevention, and therapy for ventilator-associated pneumonia (VAP, this disease continues to create complication during the course of treatment in a significant proportion of patients while receiving mechanical ventilation. Objective: This study was designed to evaluate the effect of multimodality chest physiotherapy in intubated and mechanically ventilated patients undergoing treatment in the intensive care units (ICUs for prevention of VAP. Patients and Methods: A total of 101 adult intubated and mechanically ventilated patients were included in this study. Manual hyperinflation (MH and suctioning were administered to patients in the control group (n = 51, and positioning and chest wall vibrations in addition to MH plus suctioning (multimodality chest physiotherapy were administered to patients in the study group (n = 50 till they were extubated. Both the groups were subjected to treatment twice a day. Standard care in the form of routine nursing care, pharmacological therapy, inhalation therapy, as advised by the concerned physician/surgeon was strictly implemented throughout the intervention period. Results: Data were analyzed using SPSS window version 9.0. The Clinical Pulmonary infection Score (CPIS Score showed significant decrease at the end of extubation/successful outcome or discharge in both the groups (P = 0.00. In addition, significant decrease in mortality rate was noted in the study group (24% as compared to the control group (49% (P = 0.007. Conclusions: It was observed in this study that twice-daily multimodality chest physiotherapy was associated with a significant decrease in the CPIS Scores in the study group as compared to the control group suggesting a decrease in the occurrence of VAP. There was also a significant reduction in the mortality rates with the use of multimodality chest physiotherapy in mechanically ventilated

  8. Raising household saving: does financial education work?

    Science.gov (United States)

    Gale, William G; Harris, Benjamin H; Levine, Ruth

    2012-01-01

    This article highlights the prevalence and economic outcomes of financial illiteracy among American households, and reviews previous research that examines how improving financial literacy affects household saving. Analysis of the research literature suggests that previous financial literacy efforts have yielded mixed results. Evidence suggests that interventions provided for employees in the workplace have helped increase household saving, but estimates of the magnitude of the impact vary widely. For financial education initiatives targeted to other groups, the evidence is much more ambiguous, suggesting a need for more econometrically rigorous evaluations.

  9. Prevalence of raised body mass indices and the association with ...

    African Journals Online (AJOL)

    Prevalence of raised body mass indices and the association with high blood ... an association between raised body mass index (BMI) and high blood pressure (BP) ... Subjects: The study sample comprised 382 participants, of whom 286 were ...

  10. [A multimodal strategy to improve adherence to hand hygiene in a university hospital].

    Science.gov (United States)

    Fariñas-Alvarez, C; Portal-María, T; Flor-Morales, V; Aja-Herrero, A; Fabo-Navarro, M; Lanza-Marín, S; Lobeira-Rubio, R; Polo-Hernández, N; Sixto-Montero, M; Moreta-Sánchez, R; Ballesteros-Sanz, M Á; Yañez-San Segundo, L; Bartalome-Pacheco, M J; Armiñanzas-Castillo, C

    Within the framework of the PaSQ (Patient Safety and Quality care) Project, this hospital decided to implement a multifaceted hospital-wide Hand Hygiene (HH) intervention based on a multimodal WHO approach over one year, focusing on achieving a sustained change in HH cultural change in this hospital. Setting: University Hospital Marqués de Valdecilla, Santander (Spain), a tertiary hospital with 900 beds. Intervention period: 2014. An action plan was developed that included the implementation of activities in each component of the 5-step multimodal intervention. An observation/feedback methodology was used that included the provision of performance and results feedback to the staff. A 3/3 strategy (non-blinded direct observation audits performed during 3 randomised days every 3 weeks with pro-active corrective actions at the end of each observation period). HH compliance, alcohol-based hand-rub (ABHR) consumption, and rate of MRSA infection, were monitored during the intervention. Hospital ABHR consumption increased during the study period: from 17.5 to 19.7mL/patient-days. In the intervention units, this consumption was 24.8mL pre-intervention, 42.5mL during the intervention, and 30.4mL two months post-intervention. There were 137 evaluation periods in 30 different days, in which a total of 737 health-care workers were observed and 1,870 HH opportunities. HH compliance was 54.5%, ranging between 44.8% and 69.9%. The incidence of MRSA infection decreased during the intervention in the selected units, from 13.2 infections per 10,000 patient-days pre-intervention to 5.7 three months post-intervention. Our HH strategy, supported by a 3/3 strategy increased alcohol-based hand-rub consumption and compliance. A reduction in MRSA infections was observed. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. 29 CFR 780.125 - Raising of poultry in general.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Raising of poultry in general. 780.125 Section 780.125... General Scope of Agriculture Raising of Livestock, Bees, Fur-Bearing Animals, Or Poultry § 780.125 Raising of poultry in general. (a) The term “poultry” includes domesticated fowl and game birds. Ducks...

  12. RAISED BOGS ON THE NORTH-EAST OF EUROPE

    Directory of Open Access Journals (Sweden)

    T. K. YURKOVSKAYA

    2004-01-01

    Full Text Available In the Northeastern Europe 2 types of raised bogs are distinguished: coastal (Southern White Sea raised hogs and continental (Pechora-Onega raised bogs. They have been compared as to their flora, prevailing syntaxa, characteristics of their complexes, structure of mire massifs and composition of peat deposits.

  13. Observation of Multimode Solitons in Few-Mode Fiber

    CERN Document Server

    Zhu, Zimu; Christodoulides, Demetrios N; Wise, Frank W

    2016-01-01

    We experimentally isolate and directly observe multimode solitons in few-mode graded-index fiber. By varying the input energy and modal composition of the launched pulse, we observe a continuous variation of multimode solitons with different spatiotemporal properties. They exhibit an energy-volume relation that is distinct from those of single-mode and fully spatiotemporal solitons.

  14. Multimodal warnings to enhance risk communication and safety

    NARCIS (Netherlands)

    Haas, E.C.; Erp, J.B.F. van

    2014-01-01

    Multimodal warnings incorporate audio and/or skin-based (tactile) cues to supplement or replace visual cues in environments where the user’s visual perception is busy, impaired, or nonexistent. This paper describes characteristics of audio, tactile, and multimodal warning displays and their role in

  15. Fracturing Writing Spaces: Multimodal Storytelling Ignites Process Writing

    Science.gov (United States)

    Lenters, Kimberly; Winters, Kari-Lynn

    2013-01-01

    In this paper, we explore the affordances of literature-based, arts-infused and digital media processes for students, as multimodal practices take centre stage in an English Language Arts unit on fractured fairy tales. The study takes up the challenge of addressing multimodal literacy instruction and research in ways that utilize a range of…

  16. Instantiation of Multimodal Semiotic Systems in Science Classroom Discourse

    Science.gov (United States)

    Tang, Kok-Sing

    2013-01-01

    Science classroom discourse is inherently multimodal in that scientific meanings are made through an integration of multiple semiotic systems (e.g., language, diagrams, equations). Although some studies have described this multimodal nature, few have examined and explained the relationship between the integration of multiple semiotic systems and…

  17. Multimodal Teaching and Learning: Creating Spaces for Content Teachers

    Science.gov (United States)

    Thompson, Mary

    2008-01-01

    In this article, the author describes her multimodal teaching practices in her "Adolescent Literacy Methods" course at a graduate university in the United States. By doing so, she highlights content teacher's understanding and use of various multimodal texts to effectively teach adolescents inside the classroom. In lieu of this, she raises…

  18. Multimodal transports in the Unidted States and Europe

    DEFF Research Database (Denmark)

    Ulfbeck, Vibe Garf

    2009-01-01

    Transport law has traditionally been regarded as an international area of the law. The modern multimodal transport, combining different types of transports, has changed this. Multimodal transports are not regulated by any international conventions. In commercial practice, one liability model is p...

  19. Teaching Visual Texts with the Multimodal Analysis Software

    Science.gov (United States)

    Lim Fei, Victor; O'Halloran, Kay L.; Tan, Sabine; E., Marissa K. L.

    2015-01-01

    This exploratory study introduces the systemic approach and the explicit teaching of a meta-language to provide conceptual tools for students for the analysis and interpretation of multimodal texts. Equipping students with a set of specialised vocabulary with conventionalised meanings associated with specific choices in multimodal texts empowers…

  20. The semiotics of typography in literary texts. A multimodal approach

    DEFF Research Database (Denmark)

    Nørgaard, Nina

    2009-01-01

    to multimodal discourse proposed, for instance, by Kress & Van Leeuwen (2001) and Baldry & Thibault (2006), and, more specifically, the multimodal approach to typography suggested by Van Leeuwen (2005b; 2006), in order to sketch out a methodological framework applicable to the description and analysis...... of the semiotic potential of typography in literary texts....

  1. Composition at Washington State University: Building a Multimodal Bricolage

    Science.gov (United States)

    Ericsson, Patricia; Hunter, Leeann Downing; Macklin, Tialitha Michelle; Edwards, Elizabeth Sue

    2016-01-01

    Multimodal pedagogy is increasingly accepted among composition scholars. However, putting such pedagogy into practice presents significant challenges. In this profile of Washington State University's first-year composition program, we suggest a multi-vocal and multi-theoretical approach to addressing the challenges of multimodal pedagogy. Patricia…

  2. Cultural Shifts, Multimodal Representations, and Assessment Practices: A Case Study

    Science.gov (United States)

    Curwood, Jen Scott

    2012-01-01

    Multimodal texts involve the presence, absence, and co-occurrence of alphabetic text with visual, audio, tactile, gestural, and spatial representations. This article explores how teachers' evaluation of students' multimodal work can be understood in terms of cognition and culture. When teachers apply a paradigm of assessment rooted in print-based…

  3. A Multimodal Discourse Analysis of Tmall's Double Eleven Advertisement

    Science.gov (United States)

    Hu, Chunyu; Luo, Mengxi

    2016-01-01

    From the 1990s, the multimodal turn in discourse studies makes multimodal discourse analysis a popular topic in linguistics and communication studies. An important approach to applying Systemic Functional Linguistics to non-verbal modes is Visual Grammar initially proposed by Kress and van Leeuwen (1996). Considering that commercial advertisement…

  4. Multimodal network design for sustainable household plastic recycling

    NARCIS (Netherlands)

    Bing Xiaoyun, Xiaoyun; Groot, J.J.; Bloemhof, J.M.; Vorst, van der J.G.A.J.

    2013-01-01

    Purpose – This research studies a plastic recycling system from a reverse logistics angle and investigates the potential benefits of a multimodality strategy to the network design of plastic recycling. This research aims to quantify the impact of multimodality on the network, to provide decision

  5. Multimodal network design for sustainable household plastic recycling

    NARCIS (Netherlands)

    Bing Xiaoyun, Xiaoyun; Groot, J.J.; Bloemhof, J.M.; Vorst, van der J.G.A.J.

    2013-01-01

    Purpose – This research studies a plastic recycling system from a reverse logistics angle and investigates the potential benefits of a multimodality strategy to the network design of plastic recycling. This research aims to quantify the impact of multimodality on the network, to provide decision sup

  6. Composition 2.0: Toward a Multilingual and Multimodal Framework

    Science.gov (United States)

    Fraiberg, Steven

    2010-01-01

    This article argues that tracing multimodal-multilingual literacy practices across official and unofficial spaces is key to moving composition into the twenty-first century. Key to this remixing of the field is a situated framework that locates multimodal-multilingual activities in wider genre, cultural, national, and global ecologies. (Contains 3…

  7. A Multimodal Discourse Analysis of a Yoruba Song-Drama

    Science.gov (United States)

    Olateju, Moji. A.

    2015-01-01

    This paper presents a multimodal discourse analysis of a story that has been turned into a Yoruba song-drama, highlighting the ideational, interpersonal and textual aspects of the song-drama. The data is a short song-drama meant to teach children importunity, determination and hard work through persistence. The multimodal and narrative conventions…

  8. Using Multimodal Writing to Motivate Struggling Students to Write

    Science.gov (United States)

    Darrington, Brett; Dousay, Tonia

    2014-01-01

    One of the reasons that many secondary students fail English classes is because they are not motivated to write. This literature review was conducted to look into the use of multimodal works to increase the motivation for struggling students to write. Change theory was used to evaluate the benefits of multimodal works compared to more traditional…

  9. The semiotics of typography in literary texts. A multimodal approach

    DEFF Research Database (Denmark)

    Nørgaard, Nina

    2009-01-01

    to multimodal discourse proposed, for instance, by Kress & Van Leeuwen (2001) and Baldry & Thibault (2006), and, more specifically, the multimodal approach to typography suggested by Van Leeuwen (2005b; 2006), in order to sketch out a methodological framework applicable to the description and analysis...

  10. Generation of a hollow laser beam by a multimode fiber

    Institute of Scientific and Technical Information of China (English)

    Hongyu Ma; Huadong Cheng; Wenzhuo Zhang; Liang Liu; Yuzhu Wang

    2007-01-01

    A simple method to generate a hollow laser beam by multimode fiber is reported. A dark hollow laser beam is generated from a multimode fiber and the dependence of the output beam profile on the incident angle of laser beam is analyzed. The results show that this hollow laser beam can be used to trap and guide cold atoms.

  11. The ORION guidelines: raising research standards for the control of antimicrobial-resistant pathogens and healthcare-associated infection.

    Science.gov (United States)

    Struelens, M J

    2007-11-01

    The ORION (Outbreak Reports and Intervention studies Of Nosocomial Infection) guidelines were recently published with the aim of raising methodological standards and the clarity of reporting of intervention studies in hospital infection control. The guidelines provide advice on use of appropriate statistical analysis techniques and the measures necessary to prevent bias, with the aim of ensuring complete transparency in reports of such interventions, their epidemiological context and potential confounders. CMI authors and reviewers should consider these helpful proposals when designing, reporting and assessing intervention and outbreak studies. Use of these guidelines should contribute to the construction of a solid evidence base for control of antimicrobial resistance and healthcare-associated infection.

  12. Integrating multimodal information for intraoperative assistance in neurosurgery

    Directory of Open Access Journals (Sweden)

    Eisenmann U.

    2015-09-01

    Full Text Available Computer-assisted planning of complex neurosurgical interventions benefits from a variety of specific functions and tools. However, commercial planning- and neuronavigation systems are rather restrictive concerning the availability of innovative methods such as novel imaging modalities, fiber tracking algorithms or electrical dipole mapping. In this respect there is a demand for modular neurosurgical planning systems offering flexible interfaces for easy enhancement. Furthermore all relevant planning information should be available within neuron-avigation. In this work we present a planning system providing these capabilities and its suitability and application in a clinical setting. Our Multimodal Planning System (MOPS 3D offers a variety of tools such as definition of trajectories for minimally invasive surgery, segmentation of ROIs, integration of functional information from atlas maps or magnetoencephalography. It also supplies plugin interfaces for future extensions. For intraoperative application MOPS is coupled with the neuronavigation system Brainlab Vector Vision Cranial/ENT (VVC. We evaluated MOPS in the Department of Neurosurgery at the University Hospital Heidelberg. Surgical planning and navigation was performed in 5 frequently occurring clinical cases. The time necessary for planning was between 5 and 15 minutes including data import, segmentation and planning tasks. The additional information intraoperatively provided by MOPS 3D was highly appreciated by the neurosurgeons and the performance was satisfactory.

  13. Multimodal Preincisional Premedication to Prevent Acute Pain After Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Dawood Aghamohammadi

    2012-09-01

    Full Text Available Introduction: Postoperative pain as an important medical concern is usually treated by opioids which also are of various inevitable side effects. The aim of this study was to assess the efficacy of multimodal preincisional premedication on preventing post-cholecystectomy acute pain. Methods: In a randomized clinical trial, sixty patients undergoing open cholecystectomy were randomized into two groups. Before anesthesia induction, Diclofenac suppository (100 mg and oral Clonidine (0.2 mg were administered in the first group. Immediately before operation, patients received Ketamine (1 mg/kg IV while the control group received placebo. The site of incision was infiltrated by the surgeon with 20 mL Bupivacaine 0.25% in both groups. Anesthesia induction and maintenance were similar in both groups. The severity of pain was recorded 2, 4, 6, 12, 24 and 48 hours after operation according to Visual Analogue Scale. Results: The severity of pain at two defined stages (6 and 12 hours later was significantly less in the intervention group than the control group (P<0.005. The average pain severity score was less than the control group (P<0.005. Conclusion: In our study, the administration of Clonidine, Diclofenac and Ketamine and bupivacaine infiltration to the site of incision, altogether was associated with a significant decrease in pain score and opioid requirement after cholecystectomy in comparison to bupivacaine infiltration to the site of incision.

  14. New developments in multimodal clinical multiphoton tomography

    Science.gov (United States)

    König, Karsten

    2011-03-01

    80 years ago, the PhD student Maria Goeppert predicted in her thesis in Goettingen, Germany, two-photon effects. It took 30 years to prove her theory, and another three decades to realize the first two-photon microscope. With the beginning of this millennium, first clinical multiphoton tomographs started operation in research institutions, hospitals, and in the cosmetic industry. The multiphoton tomograph MPTflexTM with its miniaturized flexible scan head became the Prism-Award 2010 winner in the category Life Sciences. Multiphoton tomographs with its superior submicron spatial resolution can be upgraded to 5D imaging tools by adding spectral time-correlated single photon counting units. Furthermore, multimodal hybrid tomographs provide chemical fingerprinting and fast wide-field imaging. The world's first clinical CARS studies have been performed with a hybrid multimodal multiphoton tomograph in spring 2010. In particular, nonfluorescent lipids and water as well as mitochondrial fluorescent NAD(P)H, fluorescent elastin, keratin, and melanin as well as SHG-active collagen have been imaged in patients with dermatological disorders. Further multimodal approaches include the combination of multiphoton tomographs with low-resolution imaging tools such as ultrasound, optoacoustic, OCT, and dermoscopy systems. Multiphoton tomographs are currently employed in Australia, Japan, the US, and in several European countries for early diagnosis of skin cancer (malignant melanoma), optimization of treatment strategies (wound healing, dermatitis), and cosmetic research including long-term biosafety tests of ZnO sunscreen nanoparticles and the measurement of the stimulated biosynthesis of collagen by anti-ageing products.

  15. Partial order approach to compute shortest paths in multimodal networks

    CERN Document Server

    Ensor, Andrew

    2011-01-01

    Many networked systems involve multiple modes of transport. Such systems are called multimodal, and examples include logistic networks, biomedical phenomena, manufacturing process and telecommunication networks. Existing techniques for determining optimal paths in multimodal networks have either required heuristics or else application-specific constraints to obtain tractable problems, removing the multimodal traits of the network during analysis. In this paper weighted coloured--edge graphs are introduced to model multimodal networks, where colours represent the modes of transportation. Optimal paths are selected using a partial order that compares the weights in each colour, resulting in a Pareto optimal set of shortest paths. This approach is shown to be tractable through experimental analyses for random and real multimodal networks without the need to apply heuristics or constraints.

  16. Percorsi linguistici e semiotici: Critical Multimodal Analysis of Digital Discourse

    Directory of Open Access Journals (Sweden)

    edited by Ilaria Moschini

    2014-12-01

    Full Text Available The language section of LEA - edited by Ilaria Moschini - is dedicated to the Critical Multimodal Analysis of Digital Discourse, an approach that encompasses the linguistic and semiotic detailed investigation of texts within a socio-cultural perspective. It features an interview with Professor Theo van Leeuwen by Ilaria Moschini and four essays: “Retwitting, reposting, repinning; reshaping identities online: Towards a social semiotic multimodal analysis of digital remediation” by Elisabetta Adami; “Multimodal aspects of corporate social responsibility communication” by Carmen Daniela Maier; “Pervasive Technologies and the Paradoxes of Multimodal Digital Communication” by Sandra Petroni and “Can the powerless speak? Linguistic and multimodal corporate media manipulation in digital environments: the case of Malala Yousafzai” by Maria Grazia Sindoni. 

  17. Parental Stress in Raising a Child with Disabilities in India

    Directory of Open Access Journals (Sweden)

    Naveen Mehrotra

    2012-08-01

    Full Text Available  Purpose: To determine the parenting stress and its determinants among parents of children with disabling conditions in India.Methods: The Parenting Stress Index – short form and a few open ended questions were administered to a convenience sample of sixty-six patient families in July, 2009 in the cities of New Delhi and Faridabad regions of Northern India through six non- governmental organizations (NGOs that serve children with disabling conditions. Results: Female sex of the child was associated with higher stress related to failure of the child to meet parent’s expectations and to satisfy the parents in their parenting role. Parents engaged in more lucrative and prestigious occupations had more stress than parents engaged in less prestigious and lucrative occupations irrespective of their income. Many parents reported receiving little support from their extended families in taking care of their child. Religion was found to be a common coping resource used by the parents.Conclusion and Implications: Higher parenting stress in parents of girls raises the possibility of abuse and neglect. Little support from informal family resources underscores the need for developing formal resources for supporting the parents. The specific resources of parenting stress among parents of different socioeconomic status should be explored in future studies so that appropriate interventions can be planned.doi 10.5463/DCID.v23i2.119

  18. Invariant measures on multimode quantum Gaussian states

    Science.gov (United States)

    Lupo, C.; Mancini, S.; De Pasquale, A.; Facchi, P.; Florio, G.; Pascazio, S.

    2012-12-01

    We derive the invariant measure on the manifold of multimode quantum Gaussian states, induced by the Haar measure on the group of Gaussian unitary transformations. To this end, by introducing a bipartition of the system in two disjoint subsystems, we use a parameterization highlighting the role of nonlocal degrees of freedom—the symplectic eigenvalues—which characterize quantum entanglement across the given bipartition. A finite measure is then obtained by imposing a physically motivated energy constraint. By averaging over the local degrees of freedom we finally derive the invariant distribution of the symplectic eigenvalues in some cases of particular interest for applications in quantum optics and quantum information.

  19. Invariant measures on multimode quantum Gaussian states

    CERN Document Server

    Lupo, C; De Pasquale, A; Facchi, P; Florio, G; Pascazio, S

    2012-01-01

    We derive the invariant measure on the manifold of multimode quantum Gaussian states, induced by the Haar measure on the group of Gaussian unitary transformations. To this end, by introducing a bipartition of the system in two disjoint subsystems, we use a parameterization highlighting the role of nonlocal degrees of freedom -- the symplectic eigenvalues -- which characterize quantum entanglement across the given bipartition. A finite measure is then obtained by imposing a physically motivated energy constraint. By averaging over the local degrees of freedom we finally derive the invariant distribution of the symplectic eigenvalues in some cases of particular interest or applications in quantum optics and quantum information.

  20. Invariant measures on multimode quantum Gaussian states

    Energy Technology Data Exchange (ETDEWEB)

    Lupo, C. [School of Science and Technology, Universita di Camerino, I-62032 Camerino (Italy); Mancini, S. [School of Science and Technology, Universita di Camerino, I-62032 Camerino (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Perugia, I-06123 Perugia (Italy); De Pasquale, A. [NEST, Scuola Normale Superiore and Istituto Nanoscienze-CNR, I-56126 Pisa (Italy); Facchi, P. [Dipartimento di Matematica and MECENAS, Universita di Bari, I-70125 Bari (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Bari, I-70126 Bari (Italy); Florio, G. [Istituto Nazionale di Fisica Nucleare, Sezione di Bari, I-70126 Bari (Italy); Museo Storico della Fisica e Centro Studi e Ricerche Enrico Fermi, Piazza del Viminale 1, I-00184 Roma (Italy); Dipartimento di Fisica and MECENAS, Universita di Bari, I-70126 Bari (Italy); Pascazio, S. [Istituto Nazionale di Fisica Nucleare, Sezione di Bari, I-70126 Bari (Italy); Dipartimento di Fisica and MECENAS, Universita di Bari, I-70126 Bari (Italy)

    2012-12-15

    We derive the invariant measure on the manifold of multimode quantum Gaussian states, induced by the Haar measure on the group of Gaussian unitary transformations. To this end, by introducing a bipartition of the system in two disjoint subsystems, we use a parameterization highlighting the role of nonlocal degrees of freedom-the symplectic eigenvalues-which characterize quantum entanglement across the given bipartition. A finite measure is then obtained by imposing a physically motivated energy constraint. By averaging over the local degrees of freedom we finally derive the invariant distribution of the symplectic eigenvalues in some cases of particular interest for applications in quantum optics and quantum information.

  1. Multimodality imaging for resuscitated sudden cardiac death.

    Science.gov (United States)

    Chen, Yingming Amy; Deva, Djeven; Kirpalani, Anish; Prabhudesai, Vikram; Marcuzzi, Danny W; Graham, John J; Verma, Subodh; Jimenez-Juan, Laura; Yan, Andrew T

    2015-01-01

    We present a case that elegantly illustrates the utility of two novel noninvasive imaging techniques, computed tomography (CT) coronary angiography and cardiac MRI, in the diagnosis and management of a 27-year-old man with exertion-induced cardiac arrest caused by an anomalous right coronary artery. CT coronary angiography with 3D reformatting delineated the interarterial course of an anomalous right coronary artery compressed between the aorta and pulmonary artery, whereas cardiac MRI showed a small myocardial infarction in the right coronary artery territory not detected on echocardiography. This case highlights the value of novel multimodality imaging techniques in the risk stratification and management of patients with resuscitated cardiac arrest.

  2. Multimodal CARS microscopy of structured carbohydrate biopolymers

    Science.gov (United States)

    Slepkov, Aaron D.; Ridsdale, Andrew; Pegoraro, Adrian F.; Moffatt, Douglas J.; Stolow, Albert

    2010-01-01

    We demonstrate the utility of multimodal coherent anti-Stokes Raman scattering (CARS) microscopy for the study of structured condensed carbohydrate systems. Simultaneous second-harmonic generation (SHG) and spectrally-scanned CARS microscopy was used to elucidate structure, alignment, and density in cellulose cotton fibers and in starch grains undergoing rapid heat-moisture swelling. Our results suggest that CARS response of the O-H stretch region (3000 cm−1–3400 cm−1), together with the commonly-measured C-H stretch (2750 cm−1–2970 cm−1) and SHG provide potentially important structural information and contrast in these materials. PMID:21258555

  3. Ultrasonic motors using piezoelectric ceramic multimode vibrators.

    Science.gov (United States)

    Takano, T; Tomikawa, Y; Ogasawara, T; Sugawara, S; Konno, M

    1990-01-01

    The development is reported of an ultrasonic motor using piezoelectric ceramic multimode vibrators consisting of circular or annular plates in which degenerate horizontal vibration modes of the same or different form are used. Two orthogonal nonaxisymmetric vibration modes were used in the same-form case, and the combination of a nonaxisymmetric vibration mode and a radial vibration mode was used in the different-forms case. Some details of the motor design and its experimental characteristics are presented. The ultrasonic motor presented here has a special advantage in its thin construction.

  4. Multimodal CARS microscopy of structured carbohydrate biopolymers.

    Science.gov (United States)

    Slepkov, Aaron D; Ridsdale, Andrew; Pegoraro, Adrian F; Moffatt, Douglas J; Stolow, Albert

    2010-11-08

    We demonstrate the utility of multimodal coherent anti-Stokes Raman scattering (CARS) microscopy for the study of structured condensed carbohydrate systems. Simultaneous second-harmonic generation (SHG) and spectrally-scanned CARS microscopy was used to elucidate structure, alignment, and density in cellulose cotton fibers and in starch grains undergoing rapid heat-moisture swelling. Our results suggest that CARS response of the O-H stretch region (3000 cm(-1)-3400 cm(-1)), together with the commonly-measured C-H stretch (2750 cm(-1)-2970 cm(-1)) and SHG provide potentially important structural information and contrast in these materials.

  5. Multimodal Biometrics Recognition by Dimensionality Diminution Method

    Directory of Open Access Journals (Sweden)

    Suvarnsing Bhable

    2015-12-01

    Full Text Available Multimodal biometric system utilizes two or more character modalities, e.g., face, ear, and fingerprint, Signature, plamprint to improve the recognition accuracy of conventional unimodal methods. We propose a new dimensionality reduction method called Dimension Diminish Projection (DDP in this paper. DDP can not only preserve local information by capturing the intra-modal geometry, but also extract between-class relevant structures for classification effectively. Experimental results show that our proposed method performs better than other algorithms including PCA, LDA and MFA.

  6. A novel multimodal CARS miniaturized microscope

    Science.gov (United States)

    Smith, Brett; Naji, Majid; Murugkar, Sangeeta; Brideau, Craig; Stys, Peter; Anis, Hanan

    2012-03-01

    We demonstrate the operation of a novel portable, fibre delivery miniaturized multimodal microscope (exoscope) for coherent anti-Stokes Raman scattering and two-photon excitation fluorescence imaging using a single Ti:sapphire femtosecond pulsed laser. This microscope features a large mode area photonic crystal fibre for light delivery, as well as biaxial scanning microelectromechanical system mirrors and custom miniaturized optics corrected for chromatic aberration. We demonstrate imaging of polystyrene beads, two photon excitation fluorescence beads in both forward and backward (epi) directions. This miniaturized exoscope will enable in-vivo imaging of rat spinal cord.

  7. Multimode Hong-Ou-Mandel interference

    CERN Document Server

    Walborn, S P; Pádua, S; Monken, C H

    2003-01-01

    We consider multimode two-photon interference at a beam splitter by photons created by spontaneous parametric down-conversion. The resulting interference pattern is shown to depend upon the transverse spatial symmetry of the pump beam. In an experiment, we employ the first-order Hermite-Gaussian modes in order to show that, by manipulating the pump beam, one can control the resulting two-photon interference behavior. We expect these results to play an important role in the engineering of quantum states of light for use in quantum information processing and quantum imaging.

  8. Surgical management of complications of multimodal therapy.

    Science.gov (United States)

    Chui, Chan-Hon

    2012-08-01

    Multimodality therapies that include surgery, chemotherapy, radiotherapy, and various newer forms of targeted therapies have been commonly applied in childhood cancers. Such modalities are associated with complications that may adversely affect the outcome of cancer treatment. Acute complications that require surgical management form the focus of our discussion. These patients are often compromised by immunosuppression, thrombocytopenia, and malnutrition. The complications discussed include typhlitis, invasive aspergillosis (IA), pancreatitis, hemorrhagic cystitis, gastrointestinal hemorrhage, necrotizing skin and soft-tissue infections, and perianal infection. Familiarity with the spectrum of complications and their appropriate management approaches will minimize the patients' morbidity.

  9. MUVA: a MUltimodal Visceral design Ambient device

    DEFF Research Database (Denmark)

    Kivac, Robert; Klem, Sune Øllgaard; Olsen, Sophus Béneé

    2016-01-01

    This paper presents MUVA (MUltimodal Visceral design Ambient device), a prototype for a storytelling light- and sound-based ambient device. The aim of this device is to encourage social interaction and expand the emotional closeness in families with children where at least one parent has irregular...... work schedule. MUVA differs from the other ambient devices, because it is targeted to children, and it adopts a visceral design approach in order to be appealing to its users. It is a raindrop-shaped lamp, which features audio playing, while its light color is affected by the audio playing. MUVA can...

  10. Confocal microscopy via multimode fibers: fluorescence bandwidth

    Science.gov (United States)

    Loterie, Damien; Psaltis, Demetri; Moser, Christophe

    2016-03-01

    We recently described a method for confocal reflection imaging through fibers, as a way to increase contrast when imaging unstained biological specimens. Using a transmission matrix, focused spots can be created at the distal end of a fiber. The backscattered field coming back from the sample can be filtered using optical correlation to obtain spatial selectivity in the detection. In this proceedings article, we briefly review the working principle of this method, and we discuss how the scheme could be adapted to confocal fluorescence imaging. In particular, we show simulations of the achievable detection bandwidth when using step-index multimode fibers as imaging devices.

  11. Perfectionism in schools raising medical manpower

    Directory of Open Access Journals (Sweden)

    Huseyin Abuhanoglu

    2015-10-01

    Full Text Available Aim: In this study, it was aimed to examine the perfectionist traits of the students studying at faculty of medicine, school of nursing and vocational school of health services within a university in Ankara which raises medical manpower. Method: To measure the students' perfectionist traits, and ldquo;Multidimensional Perfectionism Scale and rdquo; was put account. In the scope of the research, perfectionist traits of 436 students (175 students from faculty of medicine, 122 students from school of nursing and 129 students from vocational school of health services were evaluated. This study was realized between from 25 st April to 31st May 2013. Results: Significant differences in statistical terms were found between variables regarded as dependent variables (self-perfectionism, perfectionism towards others and perfectionism determined by others and independent variables such as school type, gender, family income, educational background of father, number of siblings and residence of family. Additionally, in consequence of the covariation analysis, the results proved that school type affects the sub-dimensions of perfectionism which are self-perfectionism, perfectionism towards others and perfectionism determined by others in a substantive way, statistically (respectively; F=8,307 p <001; F=3,783 p=,024; F=5,713 p=,004 . Conclusion: All in all, the interpretation can be made that bringing about required changes in the curriculum may be useful in order to have an optimal teamwork eliminating the negative effects of perfectionism in health services [TAF Prev Med Bull 2015; 14(5.000: 421-431

  12. Raising awareness of scoliosis among children's nurses.

    Science.gov (United States)

    Honeyman, Cheryl

    2014-06-01

    Scoliosis affects up to 3% of adolescents, some babies and young children, and many children with existing neuromuscular and syndromic conditions. It is the most common spinal deformity. Not all children with scoliosis require active intervention, but for more significant, progressive curves, bracing and/or surgery may be required. Bracing studies have historically been of low methodological quality, but a recent randomised controlled trial ( Weinstein et al 2013 ) has shown the efficacy of bracing in decreasing curve progression, thus reducing the necessity of surgery for some patients. Modern surgical techniques are effective in correcting scoliosis, but the surgery is major, with significant risks. Early identification of scoliosis is vital to maximise effective treatment, support the child and family, and optimise holistic health.

  13. Implementation of WHO multimodal strategy for improvement of hand hygiene: a quasi-experimental study in a Traditional Chinese Medicine hospital in Xi'an, China.

    Science.gov (United States)

    Shen, Li; Wang, Xiaoqing; An, Junming; An, Jialu; Zhou, Ning; Sun, Lu; Chen, Hong; Feng, Lin; Han, Jing; Liu, Xiaorong

    2017-01-01

    Hand hygiene (HH) is an essential component for preventing and controlling of healthcare-associated infection (HAI), whereas compliance with HH among health care workers (HCWs) is frequently poor. This study aimed to assess compliance and correctness with HH before and after the implementation of a multimodal HH improvement strategy launched by the World Health Organization (WHO). A quasi-experimental study design including questionnaire survey generalizing possible factors affecting HH behaviors of HCWs and direct observation method was used to evaluate the effectiveness of WHO multimodal HH strategy in a hospital of Traditional Chinese Medicine. Multimodal HH improvement strategy was drawn up according to the results of questionnaire survey. Compliance and correctness with HH among HCWs were compared before and after intervention. Also HH practices for different indications based on WHO "My Five Moments for Hand Hygiene" were recorded. In total, 553 HCWs participated in the questionnaire survey and multimodal HH improvement strategy was developed based on individual, environment and management levels. A total of 5044 observations in 23 wards were recorded in this investigation. The rate of compliance and correctness with HH improved from 66.27% and 47.75% at baseline to 80.53% and 88.35% after intervention. Doctors seemed to have better compliance with HH after intervention (84.04%) than nurses and other HCWs (81.07% and 69.42%, respectively). When stratified by indication, compliance with HH improved for all indications after intervention (P < 0.05) except for "after body fluid exposure risk" and "after touching patient surroundings". Implementing the WHO multimodal HH strategy can significantly improve HH compliance and correctness among HCWs.

  14. Multi-modal 2D-3D non-rigid registration

    Science.gov (United States)

    Prümmer, M.; Hornegger, J.; Pfister, M.; Dörfler, A.

    2006-03-01

    In this paper, we propose a multi-modal non-rigid 2D-3D registration technique. This method allows a non-rigid alignment of a patient pre-operatively computed tomography (CT) to few intra operatively acquired fluoroscopic X-ray images obtained with a C-arm system. This multi-modal approach is especially focused on the 3D alignment of high contrast reconstructed volumes with intra-interventional low contrast X-ray images in order to make use of up-to-date information for surgical guidance and other interventions. The key issue of non-rigid 2D-3D registration is how to define the distance measure between high contrast 3D data and low contrast 2D projections. In this work, we use algebraic reconstruction theory to handle this problem. We modify the Euler-Lagrange equation by introducing a new 3D force. This external force term is computed from the residual of the algebraic reconstruction procedures. In the multi-modal case we replace the residual between the digitally reconstructed radiographs (DRR) and observed X-ray images with a statistical based distance measure. We integrate the algebraic reconstruction technique into a variational registration framework, so that the 3D displacement field is driven to minimize the reconstruction distance between the volumetric data and its 2D projections using mutual information (MI). The benefits of this 2D-3D registration approach are its scalability in the number of used X-ray reference images and the proposed distance that can handle low contrast fluoroscopies as well. Experimental results are presented on both artificial phantom and 3D C-arm CT images.

  15. Refusal to medical interventions.

    Science.gov (United States)

    Palacios, G; Herreros, B; Pacho, E

    2014-10-01

    Refusal to medical interventions is the not acceptance, voluntary and free, of an indicated medical intervention. What the physician should do in case of refusal? It is understandable that the rejection of a validated medical intervention is difficult to accept by the responsible physician when raises the conflict protection of life versus freedom of choice. Therefore it is important to follow some steps to incorporate the most relevant aspects of the conflict. These steps include: 1) Give complete information to patients, informing on possible alternatives, 2) determine whether the patient can decide (age, competency and level of capacity), 3) to ascertain whether the decision is free, 4) analyze the decision with the patient, 5) to persuade, 6) if the patient kept in the rejection decision, consider conscientious objection, 7) take the decision based on the named criteria, 8) finally, if the rejection is accepted, offer available alternatives. Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  16. Fiber Optic Pressure Sensor using Multimode Interference

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz-Perez, V I; Sanchez-Mondragon, J J [INAOE, Apartado Postal 51 y 216, Puebla 72000 (Mexico); Basurto-Pensado, M A [CIICAp, Universidad Autonoma del Estado de Morelos (Mexico); LiKamWa, P [CREOL, University of Central Florida, Orlando, FL 32816 (United States); May-Arrioja, D A, E-mail: iruiz@inaoep.mx, E-mail: mbasurto@uaem.mx, E-mail: delta_dirac@hotmail.com, E-mail: daniel_may_arrioja@hotmail.com [UAT Reynosa Rodhe, Universidad Autonoma de Tamaulipas (Mexico)

    2011-01-01

    Based on the theory of multimode interference (MMI) and self-image formation, we developed a novel intrinsic optical fiber pressure sensor. The sensing element consists of a section of multimode fiber (MMF) without cladding spliced between two single mode fibers (SMF). The MMI pressure sensor is based on the intensity changes that occur in the transmitted light when the effective refractive index of the MMF is changed. Basically, a thick layer of Polydimethylsiloxane (PDMS) is placed in direct contact with the MMF section, such that the contact area between the PDMS and the fiber will change proportionally with the applied pressure, which results in a variation of the transmitted light intensity. Using this configuration, a good correlation between the measured intensity variations and the applied pressure is obtained. The sensitivity of the sensor is 3 {mu}V/psi, for a range of 0-60 psi, and the maximum resolution of our system is 0.25 psi. Good repeatability is also observed with a standard deviation of 0.0019. The key feature of the proposed pressure sensor is its low fabrication cost, since the cost of the MMF is minimal.

  17. Multimodal brain monitoring in fulminant hepatic failure

    Institute of Scientific and Technical Information of China (English)

    Fernando; Mendes; Paschoal; Jr; Ricardo; Carvalho; Nogueira; Karla; De; Almeida; Lins; Ronconi; Marcelo; de; Lima; Oliveira; Manoel; Jacobsen; Teixeira; Edson; Bor-Seng-Shu

    2016-01-01

    Acute liver failure, also known as fulminant hepatic failure(FHF), embraces a spectrum of clinical entities characterized by acute liver injury, severe hepatocellular dysfunction, and hepatic encephalopathy. Cerebral edema and intracranial hypertension are common causes of mortality in patients with FHF. The management of patients who present acute liver failure starts with determining the cause and an initial evaluation of prognosis. Regardless of whether or not patients are listed for liver transplantation, they should still be monitored for recovery, death, or transplantation. In the past, neuromonitoring was restricted to serial clinical neurologic examination and, in some cases, intracranial pressure monitoring. Over the years, this monitoring has proven insufficient, as brain abnormalities were detected at late and irreversible stages. The need for real-time monitoring of brain functions to favor prompt treatment and avert irreversible brain injuries led to the concepts of multimodal monitoring and neurophysiological decision support. New monitoring techniques, such as brain tissue oxygen tension, continuous electroencephalogram, transcranial Doppler, and cerebral microdialysis, have been developed. These techniques enable early diagnosis of brain hemodynamic, electrical, and biochemical changes, allow brain anatomical and physiological monitoring-guided therapy, and have improved patient survival rates. The purpose of this review is to discuss the multimodality methods available for monitoring patients with FHF in the neurocritical care setting.

  18. Multimodal pain management after arthroscopic surgery

    DEFF Research Database (Denmark)

    Rasmussen, Sten

    Multimodal Pain Management after Arthroscopic Surgery By Sten Rasmussen, M.D. The thesis is based on four randomized controlled trials. The main hypothesis was that multimodal pain treatment provides faster recovery after arthroscopic surgery. NSAID was tested against placebo after knee arthrosco...... after knee and ankle arthroscopy with the use of oral NSAIDs combined with bupivacaine plus morphine or combined with bupivacaine, morphine plus steroid....... ankle arthroscopy. Oral NSAID reduced time to work from 17 to 14 days after knee arthroscopy. Intra-articular treatment with bupivacaine plus morphine and bupivacaine plus morphine plus steroid after arthroscopic knee meniscectomy reduced time to work from 10 to 5 to 3 days. Intraarticular treatment...... with bupivacaine plus morphine and bupivacaine plus morphine plus steroid after diagnostic knee arthroscopy reduced time to work from 10 to 5 to 2 days. Additional analysis revealed that the surgical trauma and the use of tourniquet influenced recovery. The thesis proves a reduction in the time to return to work...

  19. Ten unanswered questions in multimodal communication.

    Science.gov (United States)

    Partan, Sarah R

    2013-01-01

    The study of multimodal communication has become an active and vibrant field. This special issue of Behavioral Ecology and Sociobiology brings together new developments in this rapidly expanding area. In this final contribution to the special issue, I look to the future and discuss ten questions in need of further work, touching on issues ranging from theoretical modeling and the evolution of behavior to molecular mechanisms and the development of behavior. In particular, I emphasize that the use of multimodal communication allows animals to switch between sensory channels when one channel becomes too noisy, and suggest that a better understanding of this process may help us both to understand the evolution of multisensory signaling and to predict the success of species facing environmental changes that affect signaling channels, such as urbanization and climate change. An expanded section is included on the effects of climate change on animal communication across sensory channels, urging researchers to pursue this topic due to the rapidity with which the environment is currently transforming.

  20. ANALYSING SPACE: ADAPTING AND EXTENDING MULTIMODAL SEMIOTICS

    Directory of Open Access Journals (Sweden)

    Louise J. Ravelli

    2015-07-01

    Full Text Available In the field of multimodal discourse analysis, one of the most exciting sites of application is that of 3D space: examining aspects of built environment for its meaningmaking potential. For the built environment – homes, offices, public buildings, parks, etc. – does indeed make meaning. These are spaces which speak – often their meanings are so familiar, we no longer hear what they say; sometimes, new and unusual sites draw attention to their meanings, and they are hotly contested. This chapter will suggest ways of analyzing 3D texts, based on the framework of Kress and van Leeuwen (2006. This framework, developed primarily for the analysis of 2D images, has been successfully extended to a range of other multimodal texts. Extension to the built environment includes Pang (2004, O’Toole (1994, Ravelli (2006, Safeyton (2004, Stenglin (2004 and White (1994, whose studies will inform the analyses presented here. This article will identify some of the key theoretical principles which underline this approach, including the notions of text, context and metafunction, and will describe some of the main areas of analysis for 3D texts. Also, ways of bringing the analyses together will be considered. The analyses will be demonstrated in relation to the Scientia building at the University of New South Wales, Australia.

  1. Multimodal brain monitoring in fulminant hepatic failure.

    Science.gov (United States)

    Paschoal, Fernando Mendes; Nogueira, Ricardo Carvalho; Ronconi, Karla De Almeida Lins; de Lima Oliveira, Marcelo; Teixeira, Manoel Jacobsen; Bor-Seng-Shu, Edson

    2016-08-01

    Acute liver failure, also known as fulminant hepatic failure (FHF), embraces a spectrum of clinical entities characterized by acute liver injury, severe hepatocellular dysfunction, and hepatic encephalopathy. Cerebral edema and intracranial hypertension are common causes of mortality in patients with FHF. The management of patients who present acute liver failure starts with determining the cause and an initial evaluation of prognosis. Regardless of whether or not patients are listed for liver transplantation, they should still be monitored for recovery, death, or transplantation. In the past, neuromonitoring was restricted to serial clinical neurologic examination and, in some cases, intracranial pressure monitoring. Over the years, this monitoring has proven insufficient, as brain abnormalities were detected at late and irreversible stages. The need for real-time monitoring of brain functions to favor prompt treatment and avert irreversible brain injuries led to the concepts of multimodal monitoring and neurophysiological decision support. New monitoring techniques, such as brain tissue oxygen tension, continuous electroencephalogram, transcranial Doppler, and cerebral microdialysis, have been developed. These techniques enable early diagnosis of brain hemodynamic, electrical, and biochemical changes, allow brain anatomical and physiological monitoring-guided therapy, and have improved patient survival rates. The purpose of this review is to discuss the multimodality methods available for monitoring patients with FHF in the neurocritical care setting.

  2. Multimodal Network Equilibrium with Stochastic Travel Times

    Directory of Open Access Journals (Sweden)

    M. Meng

    2014-01-01

    Full Text Available The private car, unlike public traffic modes (e.g., subway, trolley running along dedicated track-ways, is invariably subject to various uncertainties resulting in travel time variation. A multimodal network equilibrium model is formulated that explicitly considers stochastic link capacity variability in the road network. The travel time of combined-mode trips is accumulated based on the concept of the mean excess travel time (METT which is a summation of estimated buffer time and tardy time. The problem is characterized by an equivalent VI (variational inequality formulation where the mode choice is expressed in a hierarchical logit structure. Specifically, the supernetwork theory and expansion technique are used herein to represent the multimodal transportation network, which completely represents the combined-mode trips as constituting multiple modes within a trip. The method of successive weighted average is adopted for problem solutions. The model and solution method are further applied to study the trip distribution and METT variations caused by the different levels of the road conditions. Results of numerical examples show that travelers prefer to choose the combined travel mode as road capacity decreases. Travelers with different attitudes towards risk are shown to exhibit significant differences when making travel choice decisions.

  3. Photonic lantern with multimode fibers embedded

    Science.gov (United States)

    Yu, Hai-Jiao; Yan, Qi; Huang, Zong-Jun; Tian, He; Jiang, Yu; Liu, Yong-Jun; Zhang, Jian-Zhong; Sun, Wei-Min

    2014-08-01

    A photonic lantern is studied which is formed by seven multimode fibers inserted into a pure silica capillary tube. The core of the tapered end has a uniform refractive index because the polymer claddings are removed before the fibers are inserted. Consequently, the light distribution is also uniform. Two theories describing a slowly varying waveguide and multimode coupling are used to analyze the photonic lantern. The transmission loss decreases as the length of the tapered part increases. For a device with a taper length of 3.4 cm, the loss is about 1.06 dB on average for light propagating through the taper from an inserted fiber to the tapered end and 0.99 dB in the reverse direction. For a device with a taper length of 0.7 cm, the two loss values are 2.63 dB and 2.53 dB, respectively. The results show that it is possible to achieve a uniform light distribution with the tapered end and a low-loss transmission in the device if parameters related to the lantern are reasonably defined.

  4. The ANIMAGE project: a multimodal imaging platform for small animal research

    Science.gov (United States)

    Sappey-Marinier, D.; Beuf, O.; Billotey, C.; Chereul, E.; Dupuy, J.; Jeandey, M.; Grenier, D.; Hasserodt, J.; Langlois, J. B.; Lartizien, C.; Mai, W.; Odet, C.; Samarut, J.; Vray, D.; Zimmer, L.; Janier, M.

    2004-07-01

    The advent of the molecular era has just generated a revolution in the development of new in vivo imaging techniques to examine the integrative functions of molecules, cells, organ systems and whole organisms. Molecular imaging constitutes a new tool allowing the biologist to characterize, repeatedly and non-invasively, a large number of experimental models developed in rodents. In order to monitor biological processes such as gene expression, normal development, metabolic alterations or medical treatment effects, several methodological and technological challenges have to be raised up. Developments are needed in chemistry to create new radiotracers or contrast agents, and in physic, to adapt the medical imaging techniques to the constraints of small animal investigations. ANIMAGE is a multimodal imaging platform to image the structure and function of systems using and developing different technologies such as autoradiography, ultrasounds, positron emission tomography (PET), X-ray computed tomography (CT), magnetic resonance imaging and spectroscopy (MRI/MRS). The first biological applications and results are presented.

  5. Enti religiosi e fund raising: un binomio possibile (anzi, necessario

    Directory of Open Access Journals (Sweden)

    Fabio Franceschi

    2012-11-01

    Full Text Available Contributo sottoposto a valutazioniSOMMARIO: 1. Premessa - 2. Il fund raising: inquadramento concettuale - 3. (segue Strategie, strumenti e tecniche di fund raising - 4. Il fund raising come fattore di potenziale sviluppo delle organizzazioni non profit - 5. Enti religiosi e fund raising: un binomio che necessita di essere consolidato (e potenziato - 6. Peculiarità dell’azione di fund raising degli enti religiosi - 7. Fund raising e aspetti economici e gestionali degli enti religiosi - 8. Considerazioni conclusive.Abstract:Religious organizations and fundraising: a possible combination (indeed necessary Fund-raising activities represent the principal livelihood and sources of growth and development for non-profit organisations. Fund-raising is, also, an increasingly important part of religious organizations life. Almost each of them engages in some kind of fund-raising activity, with the purpose of generating income to sustain the organization’s programs and activities. The present study analyzes the relationship between religious organizations and fund-raising activities: a correlation that always existed, but now calls for consolidation and improvement in order to allow religious organizations to achieve economic sustainability. Therefore, religious organizations should develop competency and capacity to design and implement fund-raising activities, through appropriate policies, tools and methodologies. In this perspective, the author examines all the facets of fund-raising activities related to the religious organizations sector and, more in general, the possible applications of business administration principles to the management of religious bodies (so-called “church management”.Parole chiave: enti religiosi; fund raising; sostenibilità economica; management

  6. Performance Evaluation of Multimodal Multifeature Authentication System Using KNN Classification

    Directory of Open Access Journals (Sweden)

    Gayathri Rajagopal

    2015-01-01

    Full Text Available This research proposes a multimodal multifeature biometric system for human recognition using two traits, that is, palmprint and iris. The purpose of this research is to analyse integration of multimodal and multifeature biometric system using feature level fusion to achieve better performance. The main aim of the proposed system is to increase the recognition accuracy using feature level fusion. The features at the feature level fusion are raw biometric data which contains rich information when compared to decision and matching score level fusion. Hence information fused at the feature level is expected to obtain improved recognition accuracy. However, information fused at feature level has the problem of curse in dimensionality; here PCA (principal component analysis is used to diminish the dimensionality of the feature sets as they are high dimensional. The proposed multimodal results were compared with other multimodal and monomodal approaches. Out of these comparisons, the multimodal multifeature palmprint iris fusion offers significant improvements in the accuracy of the suggested multimodal biometric system. The proposed algorithm is tested using created virtual multimodal database using UPOL iris database and PolyU palmprint database.

  7. Performance evaluation of similarity measures for dense multimodal stereovision

    Science.gov (United States)

    Yaman, Mustafa; Kalkan, Sinan

    2016-05-01

    Multimodal imaging systems have recently been drawing attention in fields such as medical imaging, remote sensing, and video surveillance systems. In such systems, estimating depth has become possible due to the promising progress of multimodal matching techniques. We perform a systematic performance evaluation of similarity measures frequently used in the literature for dense multimodal stereovision. The evaluated measures include mutual information (MI), sum of squared distances, normalized cross-correlation, census transform, local self-similarity (LSS) as well as descriptors adopted to multimodal settings, like scale invariant feature transform (SIFT), speeded-up robust features (SURF), histogram of oriented gradients (HOG), binary robust independent elementary features, and fast retina keypoint (FREAK). We evaluate the measures over datasets we generated, compiled, and provided as a benchmark and compare the performances using the Winner Takes All method. The datasets are (1) synthetically modified four popular pairs from the Middlebury Stereo Dataset (namely, Tsukuba, Venus, Cones, and Teddy) and (2) our own multimodal image pairs acquired using the infrared and the electro-optical cameras of a Kinect device. The results show that MI and HOG provide promising results for multimodal imagery, and FREAK, SURF, SIFT, and LSS can be considered as alternatives depending on the multimodality level and the computational complexity requirements of the intended application.

  8. Towards an intelligent framework for multimodal affective data analysis.

    Science.gov (United States)

    Poria, Soujanya; Cambria, Erik; Hussain, Amir; Huang, Guang-Bin

    2015-03-01

    An increasingly large amount of multimodal content is posted on social media websites such as YouTube and Facebook everyday. In order to cope with the growth of such so much multimodal data, there is an urgent need to develop an intelligent multi-modal analysis framework that can effectively extract information from multiple modalities. In this paper, we propose a novel multimodal information extraction agent, which infers and aggregates the semantic and affective information associated with user-generated multimodal data in contexts such as e-learning, e-health, automatic video content tagging and human-computer interaction. In particular, the developed intelligent agent adopts an ensemble feature extraction approach by exploiting the joint use of tri-modal (text, audio and video) features to enhance the multimodal information extraction process. In preliminary experiments using the eNTERFACE dataset, our proposed multi-modal system is shown to achieve an accuracy of 87.95%, outperforming the best state-of-the-art system by more than 10%, or in relative terms, a 56% reduction in error rate.

  9. Multimodal Task-Driven Dictionary Learning for Image Classification.

    Science.gov (United States)

    Bahrampour, Soheil; Nasrabadi, Nasser M; Ray, Asok; Jenkins, William Kenneth

    2016-01-01

    Dictionary learning algorithms have been successfully used for both reconstructive and discriminative tasks, where an input signal is represented with a sparse linear combination of dictionary atoms. While these methods are mostly developed for single-modality scenarios, recent studies have demonstrated the advantages of feature-level fusion based on the joint sparse representation of the multimodal inputs. In this paper, we propose a multimodal task-driven dictionary learning algorithm under the joint sparsity constraint (prior) to enforce collaborations among multiple homogeneous/heterogeneous sources of information. In this task-driven formulation, the multimodal dictionaries are learned simultaneously with their corresponding classifiers. The resulting multimodal dictionaries can generate discriminative latent features (sparse codes) from the data that are optimized for a given task such as binary or multiclass classification. Moreover, we present an extension of the proposed formulation using a mixed joint and independent sparsity prior, which facilitates more flexible fusion of the modalities at feature level. The efficacy of the proposed algorithms for multimodal classification is illustrated on four different applications--multimodal face recognition, multi-view face recognition, multi-view action recognition, and multimodal biometric recognition. It is also shown that, compared with the counterpart reconstructive-based dictionary learning algorithms, the task-driven formulations are more computationally efficient in the sense that they can be equipped with more compact dictionaries and still achieve superior performance.

  10. Raising Crop Productivity in Africa through Intensification

    Directory of Open Access Journals (Sweden)

    Zerihun Tadele

    2017-03-01

    Full Text Available The population of Africa will double in the next 33 years to reach 2.5 billion by 2050. Although roughly 60% of the continent’s population is engaged in agriculture, the produce from this sector cannot feed its citizens. Hence, in 2013 alone, Africa imported 56.5 million tons of wheat, maize, and soybean at the cost of 18.8 billion USD. Although crops cultivated in Africa play a vital role in their contribution to Food Security, they produce inferior yields compared to those in other parts of the world. For instance, the average cereal yield in Africa is only 1.6 t·ha−1 compared to the global 3.9 t·ha−1. Low productivity in Africa is also related to poor soil fertility and scarce moisture, as well as a variety of insect pests, diseases, and weeds. While moisture scarcity is responsible for up to 60% of yield losses in some African staple cereals, insect pests inflict annually substantial crop losses. In order to devise a strategy towards boosting crop productivity on the continent where food insecurity is most prevalent, these production constraints should be investigated and properly addressed. This review focuses on conventional (also known as genetic intensification in which crop productivity is raised through breeding for cultivars with high yield-potential and those that thrive well under diverse and extreme environmental conditions. Improved crop varieties alone do not boost crop productivity unless supplemented with optimum soil, water, and plant management practices as well as the promotion of policies pertaining to inputs, credit, extension, and marketing. Studies in Kenya and Uganda have shown that the yield of cassava can be increased by 140% in farmers’ fields using improved varieties and management practices. In addition to traditional organic and inorganic fertilizers, biochar and African Dark Earths have been found to improve soil properties and to enhance productivity, although their availability and affordability to

  11. Mindfulness Interventions.

    Science.gov (United States)

    Creswell, J David

    2017-01-03

    Mindfulness interventions aim to foster greater attention to and awareness of present moment experience. There has been a dramatic increase in randomized controlled trials (RCTs) of mindfulness interventions over the past two decades. This article evaluates the growing evidence of mindfulness intervention RCTs by reviewing and discussing (a) the effects of mindfulness interventions on health, cognitive, affective, and interpersonal outcomes; (b) evidence-based applications of mindfulness interventions to new settings and populations (e.g., the workplace, military, schools); (c) psychological and neurobiological mechanisms of mindfulness interventions; (d) mindfulness intervention dosing considerations; and (e) potential risks of mindfulness interventions. Methodologically rigorous RCTs have demonstrated that mindfulness interventions improve outcomes in multiple domains (e.g., chronic pain, depression relapse, addiction). Discussion focuses on opportunities and challenges for mindfulness intervention research and on community applications.

  12. Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke: A Randomized Controlled Trial.

    Science.gov (United States)

    Bunketorp-Käll, Lina; Lundgren-Nilsson, Åsa; Samuelsson, Hans; Pekny, Tulen; Blomvé, Karin; Pekna, Marcela; Pekny, Milos; Blomstrand, Christian; Nilsson, Michael

    2017-07-01

    Treatments that improve function in late phase after stroke are urgently needed. We assessed whether multimodal interventions based on rhythm-and-music therapy or horse-riding therapy could lead to increased perceived recovery and functional improvement in a mixed population of individuals in late phase after stroke. Participants were assigned to rhythm-and-music therapy, horse-riding therapy, or control using concealed randomization, stratified with respect to sex and stroke laterality. Therapy was given twice a week for 12 weeks. The primary outcome was change in participants' perception of stroke recovery as assessed by the Stroke Impact Scale with an intention-to-treat analysis. Secondary objective outcome measures were changes in balance, gait, grip strength, and cognition. Blinded assessments were performed at baseline, postintervention, and at 3- and 6-month follow-up. One hundred twenty-three participants were assigned to rhythm-and-music therapy (n=41), horse-riding therapy (n=41), or control (n=41). Post-intervention, the perception of stroke recovery (mean change from baseline on a scale ranging from 1 to 100) was higher among rhythm-and-music therapy (5.2 [95% confidence interval, 0.79-9.61]) and horse-riding therapy participants (9.8 [95% confidence interval, 6.00-13.66]), compared with controls (-0.5 [-3.20 to 2.28]); P=0.001 (1-way ANOVA). The improvements were sustained in both intervention groups 6 months later, and corresponding gains were observed for the secondary outcomes. Multimodal interventions can improve long-term perception of recovery, as well as balance, gait, grip strength, and working memory in a mixed population of individuals in late phase after stroke. URL: http//www.ClinicalTrials.gov. Unique identifier: NCT01372059. © 2017 American Heart Association, Inc.

  13. Aberrations of the point spread function of a multimode fiber

    CERN Document Server

    Descloux, Adrien; Pinkse, Pepijn W H

    2016-01-01

    We investigate the point spread function of a multimode fiber. The distortion of the focal spot created on the fiber output facet is studied for a variety of the parameters. We develop a theoretical model of wavefront shaping through a multimode fiber and use it to confirm our experimental results and analyze the nature of the focal distortions. We show that aberration-free imaging with a large field of view can be achieved by using an appropriate number of segments on the spatial light modulator during the wavefront-shaping procedure. The results describe aberration limits for imaging with multimode fibers as in, e.g., microendoscopy.

  14. Multimodal approaches to use mobile, digital devices in learning practies

    DEFF Research Database (Denmark)

    Buhl, Mie

    In this paper, I discuss the potential of multimodal approaches to enhance learning processes. I draw on a case based on Danish Master Courses in ICT and didactic designs where multimodal approaches are in the center of students’ practical design experience as well as in generation of theoretical...... framework draws on recent currents in the field of multimodality and learning, visual culture pedagogy, ict and didactic designs, art and aesthetics....... that support and facilitate the processes of transforming experiences into theoretical knowledge. I argue that this didactic concept enhances a sensitive cognition based on rationality as described by the philosopher Baumgarten (1750). Furthermore, I argue that the emergence of mobile digital devices...

  15. In vivo multimodal nonlinear optical imaging of mucosal tissue

    Science.gov (United States)

    Sun, Ju; Shilagard, Tuya; Bell, Brent; Motamedi, Massoud; Vargas, Gracie

    2004-05-01

    We present a multimodal nonlinear imaging approach to elucidate microstructures and spectroscopic features of oral mucosa and submucosa in vivo. The hamster buccal pouch was imaged using 3-D high resolution multiphoton and second harmonic generation microscopy. The multimodal imaging approach enables colocalization and differentiation of prominent known spectroscopic and structural features such as keratin, epithelial cells, and submucosal collagen at various depths in tissue. Visualization of cellular morphology and epithelial thickness are in excellent agreement with histological observations. These results suggest that multimodal nonlinear optical microscopy can be an effective tool for studying the physiology and pathology of mucosal tissue.

  16. Multi-modality molecular imaging for gastric cancer research

    Science.gov (United States)

    Liang, Jimin; Chen, Xueli; Liu, Junting; Hu, Hao; Qu, Xiaochao; Wang, Fu; Nie, Yongzhan

    2011-12-01

    Because of the ability of integrating the strengths of different modalities and providing fully integrated information, multi-modality molecular imaging techniques provide an excellent solution to detecting and diagnosing earlier cancer, which remains difficult to achieve by using the existing techniques. In this paper, we present an overview of our research efforts on the development of the optical imaging-centric multi-modality molecular imaging platform, including the development of the imaging system, reconstruction algorithms and preclinical biomedical applications. Primary biomedical results show that the developed optical imaging-centric multi-modality molecular imaging platform may provide great potential in the preclinical biomedical applications and future clinical translation.

  17. Gene by Environment Research to Prevent Externalizing Problem Behavior : Ethical Questions Raised from a Public Healthcare Perspective

    NARCIS (Netherlands)

    Chhangur, Rabia R.; Weeland, Joyce|info:eu-repo/dai/nl/328240583; Matthys, Walter; Overbeek, Geertjan|info:eu-repo/dai/nl/25233602X

    2015-01-01

    The main public health advantages of examining gene by environment interactions (i.e., G x E) in externalizing behavior lie in the realm of personalized interventions. Nevertheless, the incorporation of genetic data in randomized controlled trials is fraught with difficulties and raises ethical

  18. Gene by Environment Research to Prevent Externalizing Problem Behavior : Ethical Questions Raised from a Public Healthcare Perspective

    NARCIS (Netherlands)

    Chhangur, Rabia R.; Weeland, Joyce; Matthys, Walter; Overbeek, Geertjan

    2015-01-01

    The main public health advantages of examining gene by environment interactions (i.e., G x E) in externalizing behavior lie in the realm of personalized interventions. Nevertheless, the incorporation of genetic data in randomized controlled trials is fraught with difficulties and raises ethical ques

  19. Investigation on a compact in-line multimode-single-mode-multimode fiber structure

    Science.gov (United States)

    Yin, Bin; Li, Yang; Liu, Zhi-bo; Feng, Suchun; Bai, Yunlong; Xu, Yao; Jian, Shuisheng

    2016-06-01

    We carried out a detailed investigation on a compact in-line multimode single-mode multimode (MSM) fiber structure. Both theoretical modal and experimental setup were established to demonstrate the transmission characteristics and the corresponding responses of the applied strain and temperature. The proposed structure simply involves a section of the single-mode fiber (SMF) spliced to two sections of multimode fiber (MMF) and lead-in and lead-out SMFs. The excited environment-sensitive cladding modes together with the fundamental mode in the central SMF form a typical Mach-Zehnder interferometer (MZI). We analyzed the transmission characteristics of the different length of the middle SMF and the MMF in detail. In the experiment, we obtained the extinction ratio of the MSM fiber structure based MZI comb spectrum which was up to 20 dB, and sensitivities of 0.7096 pm/με (0-2000 με) and 44.12 pm/°C (10-70 °C), which proved the potential sensing applications of the proposed fiber structure.

  20. Key technologies of drilling process with raise boring method

    OpenAIRE

    Zhiqiang Liu(Institute of High Energy Physics); Yiping Meng

    2015-01-01

    This study presents the concept of shaft constructed by raise boring in underground mines, and the idea of inverse construction can be extended to other fields of underground engineering. The conventional raise boring methods, such as the wood support method, the hanging cage method, the creeping cage method, and the deep-hole blasting method, are analyzed and compared. In addition, the raise boring machines are classified into different types and the characteristics of each type are describe...

  1. Screening for a raised rectal temperature in Africa.

    OpenAIRE

    Jones, R.J.; O'Dempsey, T J; Greenwood, B. M.

    1993-01-01

    The main purpose of this study was to compare rectal and axillary temperature measurements in African children. Altogether 573 sick children were seen in an outpatient setting in rural West Africa. Rectal and axillary temperatures were measured and the parent or guardian was asked if they thought that the child had a raised body temperature. Normal ranges were defined from an age matched population of 203 healthy children. A raised axillary temperature predicted a raised rectal temperature wi...

  2. Multimodal lung cancer screening using the ITALUNG biomarker panel and low dose computed tomography. Results of the ITALUNG biomarker study.

    Science.gov (United States)

    Carozzi, Francesca Maria; Bisanzi, Simonetta; Carrozzi, Laura; Falaschi, Fabio; Lopes Pegna, Andrea; Mascalchi, Mario; Picozzi, Giulia; Peluso, Marco; Sani, Cristina; Greco, Luana; Ocello, Cristina; Paci, Eugenio

    2017-07-01

    Asymptomatic high-risk subjects, randomized in the intervention arm of the ITALUNG trial (1,406 screened for lung cancer), were enrolled for the ITALUNG biomarker study (n = 1,356), in which samples of blood and sputum were analyzed for plasma DNA quantification (cut off 5 ng/ml), loss of heterozygosity and microsatellite instability. The ITALUNG biomarker panel (IBP) was considered positive if at least one of the two biomarkers included in the panel was positive. Subjects with and without lung cancer diagnosis at the end of the screening cycle with LDCT (n = 517) were evaluated. Out of 18 baseline screen detected lung cancer cases, 17 were IBP positive (94%). Repeat screen-detected lung cancer cases were 18 and 12 of them positive at baseline IBP test (66%). Interval cancer cases (2-years) and biomarker tests after a suspect Non Calcific Nodule follow-up were investigated. The single test versus multimodal screening measures of accuracy were compared in a simulation within the screened ITALUNG intervention arm, considering screen-detected and interval cancer cases. Sensitivity was 90% at baseline screening. Specificity was 71 and 61% for LDCT and IBP as baseline single test, and improved at 89% with multimodal, combined screening. The positive predictive value was 4.3% for LDCT at baseline and 10.6% for multimodal screening. Multimodal screening could improve the screening efficiency at baseline and strategies for future implementation are discussed. If IBP was used as primary screening test, the LDCT burden might decrease of about 60%. © 2017 UICC.

  3. Key technologies of drilling process with raise boring method

    Directory of Open Access Journals (Sweden)

    Zhiqiang Liu

    2015-08-01

    Full Text Available This study presents the concept of shaft constructed by raise boring in underground mines, and the idea of inverse construction can be extended to other fields of underground engineering. The conventional raise boring methods, such as the wood support method, the hanging cage method, the creeping cage method, and the deep-hole blasting method, are analyzed and compared. In addition, the raise boring machines are classified into different types and the characteristics of each type are described. The components of a raise boring machine including the drill rig, the drill string and the auxiliary system are also presented. Based on the analysis of the raise boring method, the rock mechanics problems during the raise boring process are put forward, including rock fragmentation, removal of cuttings, shaft wall stability, and borehole deviation control. Finally, the development trends of raise boring technology are described as follows: (i improvement of rock-breaking modes to raise drilling efficiency, (ii development of an intelligent control technique, and (iii development of technology and equipment for nonlinear raise boring.

  4. Key technologies of drilling process with raise boring method

    Institute of Scientific and Technical Information of China (English)

    Zhiqiang Liu; Yiping Meng

    2015-01-01

    This study presents the concept of shaft constructed by raise boring in underground mines, and the idea of inverse construction can be extended to other fields of underground engineering. The conventional raise boring methods, such as the wood support method, the hanging cage method, the creeping cage method, and the deep-hole blasting method, are analyzed and compared. In addition, the raise boring machines are classified into different types and the characteristics of each type are described. The components of a raise boring machine including the drill rig, the drill string and the auxiliary system are also presented. Based on the analysis of the raise boring method, the rock mechanics problems during the raise boring process are put forward, including rock fragmentation, removal of cuttings, shaft wall stability, and borehole deviation control. Finally, the development trends of raise boring technology are described as follows:(i) improve-ment of rock-breaking modes to raise drilling efficiency, (ii) development of an intelligent control tech-nique, and (iii) development of technology and equipment for nonlinear raise boring.

  5. Multimodal interfaces with voice and gesture input

    Energy Technology Data Exchange (ETDEWEB)

    Milota, A.D.; Blattner, M.M.

    1995-07-20

    The modalities of speech and gesture have different strengths and weaknesses, but combined they create synergy where each modality corrects the weaknesses of the other. We believe that a multimodal system such a one interwining speech and gesture must start from a different foundation than ones which are based solely on pen input. In order to provide a basis for the design of a speech and gesture system, we have examined the research in other disciplines such as anthropology and linguistics. The result of this investigation was a taxonomy that gave us material for the incorporation of gestures whose meanings are largely transparent to the users. This study describes the taxonomy and gives examples of applications to pen input systems.

  6. Entanglement frustration in multimode Gaussian states

    CERN Document Server

    Lupo, Cosmo; Facchi, Paolo; Florio, Giuseppe; Pascazio, Saverio

    2011-01-01

    Bipartite entanglement between two parties of a composite quantum system can be quantified in terms of the purity of one party and there always exists a pure state of the total system that maximizes it (and minimizes purity). When many different bipartitions are considered, the requirement that purity be minimal for all bipartitions gives rise to the phenomenon of entanglement frustration. This feature, observed in quantum systems with both discrete and continuous variables, can be studied by means of a suitable cost function whose minimizers are the maximally multipartite-entangled states (MMES). In this paper we extend the analysis of multipartite entanglement frustration of Gaussian states in multimode bosonic systems. We derive bounds on the frustration, under the constraint of finite mean energy, in the low and high energy limit.

  7. Anatomy and efficiency of urban multimodal mobility

    CERN Document Server

    Gallotti, Riccardo

    2014-01-01

    The growth of transportation networks and their increasing interconnections, although positive, has the downside effect of an increasing complexity which make them difficult to use, to assess, and limits their efficiency. On average in the UK, 23% of travel time is lost in connections for trips with more than one mode, and the lack of synchronization decreases very slowly with population size. This lack of synchronization between modes induces differences between the theoretical quickest trip and the `time-respecting' path, which takes into account waiting times at interconnection nodes. We analyse here the statistics of these paths on the multilayer, temporal network of the entire, multimodal british public transportation system. We propose a statistical decomposition -- the `anatomy' -- of trips in urban areas, in terms of riding, waiting and walking times, and which shows how the temporal structure of trips varies with distance and allows us to compare different cities. Weaknesses in systems can be either ...

  8. Multimodal Evolution Approach to Multidimensional Intrusion Detection

    Institute of Scientific and Technical Information of China (English)

    Weng Guang'an; Yu Shengsheng; Zhou Jingli

    2006-01-01

    An artificial immunity based multimodal evolution algorithm is developed to generate detectors with variable coverage for multidimensional intrusion detection. In this algorithm, a proper fitness function is used to drive the detectors to fill in those detection holes close to self set or among self spheres, and genetic algorithm is adopted to reduce the negative effects that different distribution of self imposes on the detector generating process. The validity of the algorithm is tested with spherical and rectangular detectors,respectively, and experiments performed on two real data sets ( machine learning database and DAPRA99) indicate that the proposed algorithm can obtain good results on spherical detectors, and that its performances in detection rate, false alarm rate, stability, time cost, and adaptability to incomplete training set on spherical detectors are all better than on rectangular ones.

  9. Compressive multi-mode superresolution display

    KAUST Repository

    Heide, Felix

    2014-01-01

    Compressive displays are an emerging technology exploring the co-design of new optical device configurations and compressive computation. Previously, research has shown how to improve the dynamic range of displays and facilitate high-quality light field or glasses-free 3D image synthesis. In this paper, we introduce a new multi-mode compressive display architecture that supports switching between 3D and high dynamic range (HDR) modes as well as a new super-resolution mode. The proposed hardware consists of readily-available components and is driven by a novel splitting algorithm that computes the pixel states from a target high-resolution image. In effect, the display pixels present a compressed representation of the target image that is perceived as a single, high resolution image. © 2014 Optical Society of America.

  10. Photon correlations in multi-mode waveguides

    CERN Document Server

    Poem, Eilon; 10.1103/PhysRevA.84.041805

    2012-01-01

    We consider the propagation of classical and non-classical light in multi-mode optical waveguides. We focus on the evolution of the few-photon correlation functions, which, much like the light-intensity distribution in such systems, evolve in a periodic manner, culminating in the 'revival' of the initial correlation pattern at the end of each period. It is found that when the input state possesses non trivial symmetries, the correlation revival period can be longer than that of the intensity, and thus the same intensity pattern can display different correlation patterns. We experimentally demonstrate this effect for classical, pseudo-thermal light, and compare the results with the predictions for non-classical, quantum light.

  11. Adesivos universais ou multi-mode

    OpenAIRE

    Tavares, Ana Sofia Peixe

    2016-01-01

    Os adesivos Universais (SAU) ou Multi-mode são dispositivos recentemente lançados no mercado que visam oferecer ao Médico Dentista a livre escolha da estratégia de adesão (ER e SE) a usar consoante o tipo de condição clínica. Estes adesivos são categorizados como Universais por serem versáteis quanto ás suas instruções de uso e áreas de aplicação. Na realidade, os SAU são uma extensão melhorada e adaptada, dos adesivos SE. O presente trabalho consiste numa revisão narrativa sob...

  12. Multimodality imaging of structure and function

    Energy Technology Data Exchange (ETDEWEB)

    Townsend, D W [Departments of Medicine and Radiology, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920 (United States)], E-mail: dtownsend@mc.utmck.edu

    2008-02-21

    Historically, medical devices to image either anatomical structure or functional processes have developed along somewhat independent paths. The recognition that combining images from different modalities can nevertheless offer significant diagnostic advantages gave rise to sophisticated software techniques to coregister structure and function. Recently, alternatives to retrospective software-based fusion have become available through instrumentation that combines two imaging modalities within a single device, an approach that has since been termed hardware fusion. As a result, following their recent introduction into the clinic, combined PET/CT and SPECT/CT devices are now playing an increasingly important role in the diagnosis and staging of human disease. Recently, although limited to the brain, the first clinical MR scanner with a PET insert, a technically-challenging design, has been undergoing evaluation. This review will follow the development of multimodality instrumentation for clinical use from conception to present-day technology and assess the status and future potential for such devices. (topical review)

  13. Multimode directionality in all-dielectric metasurfaces

    CERN Document Server

    Yang, Yuanqing; Kostinski, Sarah V; Odit, Mikhail; Kapitanova, Polina; Qiu, Min; Kivshar, Yuri

    2016-01-01

    All-dielectric resonant nanophotonics has emerged recently as a new direction of research aiming at the manipulation of strong optically-induced electric and magnetic Mie resonances in dielectric nanoparticles with high refractive index, for a design of metadevices with reduced dissipative losses and large resonant enhancement of both electric and magnetic fields. Usually, the geometry of dielectric nanoparticles is considered to be close to either sphere or rod, so the exact Mie solutions of the scattering problem are applied. Here we study nanoparticles with a large aspect ratio (such as nanobars) and describe a novel type of hybrid Mie-Fabry-Perot modes responsible for the existence of multiple magnetic dipole resonances. The multiple magnetic dipoles originate from a combination of a magnetic dipolar mode and a number of standing waves of an elongated anisotropic nanobar. We reveal that these novel hybrid modes can interfere constructively with the induced electric dipoles and thereby lead to multimode un...

  14. Hearables: Multimodal physiological in-ear sensing

    CERN Document Server

    Goverdovsky, Valentin; Nakamura, Takashi; Looney, David; Sharp, David J; Papavassiliou, Christos; Morrell, Mary J; Mandic, Danilo P

    2016-01-01

    Future health systems require the means to assess and track the neural and physiological function of a user over long periods of time and in the community. Human body responses are manifested through multiple modalities, such as the mechanical, electrical and chemical; yet current physiological monitors (actigraphy, heart rate) largely lack in both the desired cross-modal and non-stigmatizing aspects. We address these challenges through an inconspicuous and comfortable earpiece, equipped with miniature multimodal sensors, which benefits from the relatively stable position of the ear canal with respect to vital organs to robustly measure the brain, cardiac and respiratory functions. Comprehensive experiments validate each modality within the proposed earpiece, while its potential in health monitoring is illustrated through case studies. We further demonstrate how combining data from multiple sensors within such an integrated wearable device improves both the accuracy of measurements and the ability to deal wit...

  15. Azimut: a multimodal locomotion robotic platform

    Science.gov (United States)

    Michaud, Francois; Letourneau, Dominic; Arsenault, Martin; Bergeron, Yann; Cadrin, Richard; Gagnon, Frederic; Legault, Marc-Antoine; Millette, Mathieu; Pare, Jean-Francois; Tremblay, Marie-Christine; Lepage, Pierre; Morin, Yan; Caron, Serge

    2003-09-01

    Other than from its sensing and processing capabilities, a mobile robotic platform can be limited in its use by its ability to move in the environment. A wheeled robot works well on flat surfaces. Tracks are useful over rough terrains, while legs allow a robot to move over obstacles. In this paper we present a new concept of mobile robot with the objective of combining different locomotion mechanisms on the same platform to increase its locomotion capabilities. After presenting a review of multi-modal robotic platforms, we describe the design of our robot called AZIMUT. AZIMUT combines wheels, legs and tracks to move in three-dimensional environments. The robot is symmetrical and is made of four independent leg-track-wheel articulations. It can move with its articulations up, down or straight, or move sideways without changing the robot's orientation. The robot could be used in surveillance and rescue missions, exploration or operation in hazardous environments.

  16. Investigating multimodal communication in virtual meetings

    DEFF Research Database (Denmark)

    Persson, John Stouby; Mathiassen, Lars

    2014-01-01

    propositions that explain how interrelating of verbal and visual acts based on shared dynamic representations enable communication repairs during virtual meetings. We argue the proposed framework provides researchers with a novel and practical approach to investigate the complex data involved in virtual......To manage distributed work, organizations increasingly rely on virtual meetings based on multimodal, synchronous communication technologies. However, despite technological advances, it is still challenging to coordinate knowledge through these meetings with spatial and cultural separation. Against...... recordings of their oral exchanges and video recordings of their shared dynamic representation of the project’s status and plans, our analysis reveals how their interrelating of visual and verbal communication acts enabled effective communication and coordination. In conclusion, we offer theoretical...

  17. Automatic processing of multimodal tomography datasets.

    Science.gov (United States)

    Parsons, Aaron D; Price, Stephen W T; Wadeson, Nicola; Basham, Mark; Beale, Andrew M; Ashton, Alun W; Mosselmans, J Frederick W; Quinn, Paul D

    2017-01-01

    With the development of fourth-generation high-brightness synchrotrons on the horizon, the already large volume of data that will be collected on imaging and mapping beamlines is set to increase by orders of magnitude. As such, an easy and accessible way of dealing with such large datasets as quickly as possible is required in order to be able to address the core scientific problems during the experimental data collection. Savu is an accessible and flexible big data processing framework that is able to deal with both the variety and the volume of data of multimodal and multidimensional scientific datasets output such as those from chemical tomography experiments on the I18 microfocus scanning beamline at Diamond Light Source.

  18. Multimodal event streams for virtual reality

    Science.gov (United States)

    von Spiczak, J.; Samset, E.; DiMaio, S.; Reitmayr, G.; Schmalstieg, D.; Burghart, C.; Kikinis, R.

    2007-01-01

    Applications in the fields of virtual and augmented reality as well as image-guided medical applications make use of a wide variety of hardware devices. Existing frameworks for interconnecting low-level devices and high-level application programs do not exploit the full potential for processing events coming from arbitrary sources and are not easily generalizable. In this paper, we will introduce a new multi-modal event processing methodology using dynamically-typed event attributes for event passing between multiple devices and systems. The existing OpenTracker framework was modified to incorporate a highly flexible and extensible event model, which can store data that is dynamically created and arbitrarily typed at runtime. The main factors impacting the library's throughput were determined and the performance was shown to be sufficient for most typical applications. Several sample applications were developed to take advantage of the new dynamic event model provided by the library, thereby demonstrating its flexibility and expressive power.

  19. Testing Two Tools for Multimodal Navigation

    Directory of Open Access Journals (Sweden)

    Mats Liljedahl

    2012-01-01

    Full Text Available The latest smartphones with GPS, electronic compasses, directional audio, touch screens, and so forth, hold a potential for location-based services that are easier to use and that let users focus on their activities and the environment around them. Rather than interpreting maps, users can search for information by pointing in a direction and database queries can be created from GPS location and compass data. Users can also get guidance to locations through point and sweep gestures, spatial sound, and simple graphics. This paper describes two studies testing two applications with multimodal user interfaces for navigation and information retrieval. The applications allow users to search for information and get navigation support using combinations of point and sweep gestures, nonspeech audio, graphics, and text. Tests show that users appreciated both applications for their ease of use and for allowing users to interact directly with the surrounding environment.

  20. Multimodal Indexing of Multilingual News Video

    Directory of Open Access Journals (Sweden)

    Hiranmay Ghosh

    2010-01-01

    Full Text Available The problems associated with automatic analysis of news telecasts are more severe in a country like India, where there are many national and regional language channels, besides English. In this paper, we present a framework for multimodal analysis of multilingual news telecasts, which can be augmented with tools and techniques for specific news analytics tasks. Further, we focus on a set of techniques for automatic indexing of the news stories based on keywords spotted in speech as well as on the visuals of contemporary and domain interest. English keywords are derived from RSS feed and converted to Indian language equivalents for detection in speech and on ticker texts. Restricting the keyword list to a manageable number results in drastic improvement in indexing performance. We present illustrative examples and detailed experimental results to substantiate our claim.

  1. Condensation of Thresholds in Multimode Microlasers

    CERN Document Server

    Ge, Li; Stone, A Douglas

    2016-01-01

    We show from ab initio laser theory that by choosing an appropriate spatial pump profile, many different spatial modes of a typical microlaser can be turned on at the same pump energy, substantially increasing the number, N, of simultaneous lasing modes. The optimal pump profile can be obtained simply from knowledge of the space-dependent saturated gain profile when the system is uniformly pumped up to the Nth modal threshold. We test this general result by applying it to a two-dimensional diffusive random laser and a microdisk laser. Achieving highly multimode lasing at reasonable pump powers is useful for reducing the spatial coherence of laser sources, making them suitable for use in speckle-free imaging and other applications.

  2. INFORMATION SUPPORT TRANSPORTATION PROCESS MULTIMODAL SYSTEM

    Directory of Open Access Journals (Sweden)

    N. A. Filippova

    2015-02-01

    Full Text Available Background: is to improve information support for the organization and functioning of multimodal systems delive-ry modes of transport in the northern regions of the Russian Federation on the basis of the development of theoretical and methodological and practical provisions, criteria, methods and mathematical models.Method or methodology of the work: a methodology placement vehicle logistics center (TLC in the Nordic region, providing links all transport modes involved in the delivery of energy, developed a model to optimize the parameters of the transport network, used for traffic, the most effective schemes of delivery of goods in multimodal report, taking into account the specifics of the Nordic region, and funding.Results: Studies have applied and may be used by the fe-deral and regional authorities and management in the deve-lopment of integrated programs for energy-Northern regions. Proposed in the theoretical research and methodological approaches are one way to increase the efficiency of the delivery of goods in the event of a little predictable situations on the route, TLC and transhipment points. The developed techniques are used and can be used to improve the northern region of the process control of cargo delivery.Conclusion: Therefore, based on the analysis of the status of the issue, it is quite obvious that the very topical area of optimization of the transport needs of the region to ensure the development and implementation of methods to improve the efficiency and quality of freight traffic by improving organizational structures and technology traffic control all transport space in the region.

  3. Fiber-Optic Vibration Sensor Based on Multimode Fiber

    Directory of Open Access Journals (Sweden)

    I. Lujo

    2008-06-01

    Full Text Available The purpose of this paper is to present a fiberoptic vibration sensor based on the monitoring of the mode distribution in a multimode optical fiber. Detection of vibrations and their parameters is possible through observation of the output speckle pattern from the multimode optical fiber. A working experimental model has been built in which all used components are widely available and cheap: a CCD camera (a simple web-cam, a multimode laser in visible range as a light source, a length of multimode optical fiber, and a computer for signal processing. Measurements have shown good agreement with the actual frequency of vibrations, and promising results were achieved with the amplitude measurements although they require some adaptation of the experimental model. Proposed sensor is cheap and lightweight and therefore presents an interesting alternative for monitoring large smart structures.

  4. Asynchronous Multimodal Process Approach to Cross-Docking Hub Optimization

    National Research Council Canada - National Science Library

    Pawlewski, Pawel

    2015-01-01

    ... in a supply chain. It shows modern approaches to the model supply chain: multimodal, based on the idea of Physical Internet and based on Cyber-Physical Internet. The main goal of this paper is to...

  5. Multi-Modal Intelligent Traffic Signal Systems GPS

    Data.gov (United States)

    Department of Transportation — Data were collected during the Multi-Modal Intelligent Transportation Signal Systems (MMITSS) study. MMITSS is a next-generation traffic signal system that seeks to...

  6. implementation and comparative study of a high speed multimode ...

    African Journals Online (AJOL)

    SUMAN HALDAR, SOUMITA HALDAR CHAKRABORTY, PRADIPTAMAITI, PRATIK KUMAR SINHA, PIJUSH BISWAS, Dr. AMITAVA SINHA

    2016-07-07

    Jul 7, 2016 ... The key feature of the work is reduced power and simple circuitry, without ... Keywords: Digital Communication, Multimode Modulator, High Speed ..... Implementation of Universal Modulator using Co-ordinate Rotation Digital ...

  7. Multi-Modal Intelligent Traffic Signal Systems Basic Safety Message

    Data.gov (United States)

    Department of Transportation — Data were collected during the Multi-Modal Intelligent Transportation Signal Systems (MMITSS) study. MMITSS is a next-generation traffic signal system that seeks to...

  8. Natural multimodal communication for human–robot collaboration

    National Research Council Canada - National Science Library

    Maurtua, Iñaki; Fernández, Izaskun; Tellaeche, Alberto; Kildal, Johan; Susperregi, Loreto; Ibarguren, Aitor; Sierra, Basilio

    2017-01-01

    This article presents a semantic approach for multimodal interaction between humans and industrial robots to enhance the dependability and naturalness of the collaboration between them in real industrial settings...

  9. Spatial beam self-cleaning in multimode fiber

    CERN Document Server

    Krupa, Katarzyna; Shalaby, Badr M; Fabert, Marc; Barthélémy, Alain; Millot, Guy; Wabnitz, Stefan; Couderc, Vincent

    2016-01-01

    Multimode optical fibers are today enjoying a new spring, boosted by the urgent need to overcome the current capacity crunch of single-mode fiber systems, and by recent advances in multimode complex nonlinear optics. In this work we demonstrate that standard multimode fibers can be used as ultrafast all-optical tool for transverse beam manipulation of high power laser pulses. Experiments show that the Kerr effect in a graded-index multimode fiber is the driving mechanism for overcoming speckle distortions, leading to the counter-intuitive result of a spatially clean output beam, which is robust against fiber bending. Our observations disprove the common belief that modal control in fibers can only be obtained by limiting the number of guided modes, by reducing the core size or the refractive index contrast, or by exploiting Raman gain at the Stokes wavelength.

  10. Manifold learning based registration algorithms applied to multimodal images.

    Science.gov (United States)

    Azampour, Mohammad Farid; Ghaffari, Aboozar; Hamidinekoo, Azam; Fatemizadeh, Emad

    2014-01-01

    Manifold learning algorithms are proposed to be used in image processing based on their ability in preserving data structures while reducing the dimension and the exposure of data structure in lower dimension. Multi-modal images have the same structure and can be registered together as monomodal images if only structural information is shown. As a result, manifold learning is able to transform multi-modal images to mono-modal ones and subsequently do the registration using mono-modal methods. Based on this application, in this paper novel similarity measures are proposed for multi-modal images in which Laplacian eigenmaps are employed as manifold learning algorithm and are tested against rigid registration of PET/MR images. Results show the feasibility of using manifold learning as a way of calculating the similarity between multimodal images.

  11. A multimodal end-2-end approach to accessible computing

    CERN Document Server

    Biswas, Pradipta; Langdon, Patrick; Almeida, Luis; Jung, Christoph

    2013-01-01

    This book surveys the phases of delivering accessible products and services through design, development, deployment and maintenance. Examines user models for inclusive design, adaptable multimodal system development for digital TV and ubiquitous devices.

  12. Rethinking Resources: Multimodal Pedagogies in the ESL Classroom.

    Science.gov (United States)

    Stein, Pippa

    2000-01-01

    Describes a process for rethinking resources in the English-as-a-Second-Language classroom. Rethinking resources is possible through multimodal pedagogies that recognize students as remakers and transformers of the representational resources available to them. (Author/VWL)

  13. Multimode Spontaneous Parametric Down-Conversion in the Lossy Medium

    CERN Document Server

    Chrapkiewicz, Radoslaw

    2009-01-01

    We study the process of multimode Spontaneous Parametric Down--Conversion (SPDC) in the lossy, one dimensional waveguide. We propose a description using first order Correlation Functions (CF) in the fluorescence fields, as a very fruitful and easy approach providing us with a complete information about the final multimode state. We formulate the equation of the evolution of the multimode CF along the crystal using four characteristic length scales. We solve it analytically in the one mode case and numerically in the multimode case. We capture simultaneous effects of three wave mixing with ultrashort pump, linear propagation and attenuation, and we are able to divide the evolution into three stages and predict it qualitatively. We find that losses do not destroy the quantum properties of SPDC but stabilize the final state.

  14. On a Combined Analysis Framework for Multimodal Discourse Analysis

    Institute of Scientific and Technical Information of China (English)

    窦瑞芳

    2015-01-01

    When people communicate,they do not only use language,that is,a single mode of communication,but also simultaneously use body languages,eye contacts,pictures,etc,which is called multimodal communication. The multimodal communication,as a matter of fact,is the most natural way of communication.Therefore,in order to make a complete discourse analysis,all the modes involved in an interaction or discourse should be taken into account and the new analysis framework for Multimodal Discourse Analysis ought to be created to move forward such type of analysis.In this passage,the author makes a tentative move to shape a new analysis framework for Multimodal Discourse Analysis.

  15. On a Combined Analysis Framework for Multimodal Discourse Analysis

    Institute of Scientific and Technical Information of China (English)

    窦瑞芳

    2015-01-01

    When people communicate,they do not only use language,that is,a single mode of communication,but also simultaneously use body languages,eye contacts,pictures,etc,which is called multimodal communication.The multimodal communication,as a matter of fact,is the most natural way of communication.Therefore,in order to make a complete discourse analysis,all the modes involved in an interaction or discourse should be taken into account and the new analysis framework for Multimodal Discourse Analysis ought to be created to move forward such type of analysis.In this passage,the author makes a tentative move to shape a new analysis framework for Multimodal Discourse Analysis.

  16. Raising the standard of care in the treatment of schizophrenia: Yes we can!

    Science.gov (United States)

    Catts, Stanley Victor; O'Toole, Brian

    2017-05-01

    In response to evidence of deteriorating outcomes of people with schizophrenia we recently published a critical review in the journal concerning why outcomes for schizophrenia are not improving. A published commentary on our review raised criticisms that we aim to address herein. Published data related to four issues raised in the commentary were reviewed. There is a body of evidence that supports the possibility of dramatic improvements in treatment effectiveness, presented in our critical review, and these can be achieved within existing financial resources and present day understanding of the pathophysiology of schizophrenia. However, the commentary leads us to highlight four current obstacles to improving treatment effectiveness: (1) the belief of many psychiatrists that long-term antipsychotic medication raises the cardiovascular mortality rate in schizophrenia when the opposite is almost certainly the case; (2) the need to improve psychiatrist training in diagnostic and communication skills, especially with first episode presentations; (3) the requirement for comprehensive and structured assessment of the highly prevalent deficits in insight and decision making capacity associated with schizophrenia; and (4) the need for improved intervention design to minimise the impact of these deficits on treatment choice and refusal. With a sense of professional urgency, a genuinely respectful and caring partnership between clinicians, affected individuals and their families, and researchers, with relative little innovation, we conclude that the standard of care can definitely be raised now in the treatment of schizophrenia.

  17. MULTIMODE THEORY OF WHISPERING GALLERY-MODE MICROSPHERE LASER

    Institute of Scientific and Technical Information of China (English)

    CHAI JIN-HUA; LU YI-QUN; LEUNG PUI-TANG

    2000-01-01

    A multimode theory of whispering-gallery-mode microsphere laser is developed based on the linear and nonlinear semiclassical theory of the microsphere laser. The average photon-number of each lasing mode and the pumping level requirement for multimode coexistence are derived. The comparison between the theory and experimental results shows that the theory can be used to treat the practical problems on microsphere laser.

  18. Pre-service teacher discourses: Authoring selves through multimodal compositions

    Directory of Open Access Journals (Sweden)

    John Bishop

    2009-05-01

    Full Text Available This article explores the use of digital and multimodal compositions among preservice elementary education students in a university language and literacy methods course. Furthermore, this piece argues for the inclusion of multimodal representation in our literacy courses given the changes in our digital landscape and the ever-increasing multimodality of our representational and communicational means online. This research aligns with a burgeoning collection of literature, namely New Literacies (Knobel & Lankshear, 2007 and multimodality (Kress & van Leeuwen, 2001. In addition, this research merges with ‘traditional’ print-based literacy pedagogies that argue for models of teacher learning that foreground opportunities to ‘do’ digital composition in order to more effectively prepare students for 21st century literacy skills in epistemologically diverse digital environments. A combination of discourse and multimodal analysis provides a means to couple both linguistic and semiotic data to examine how multimodal design functions in the construction of teacher identities and how the flexibility of these identities in turn work to prepare new teachers for successful transitions into public school cultures. In other words, how might the practice of multimedia production, and reflection on those processes, foster a deeper self-awareness during a time when students are moving from university settings into public schools? This article argues that multimodal text design is dialogic and purposeful with regards to constructions of teacher identities and highlights two ‘Digital Literacy Projects,’ multimodal video compositions designed and produced by preservice teachers with video editing software. The two DLPs contrast the potential for authors to stabilize and/or improvise formations of identity, both which create opportunities to engage in praxis that merge university experiences with public school responsibilities.

  19. Ultrabroadband dispersive radiation by spatiotemporal oscillation of multimode waves

    CERN Document Server

    Wright, Logan G; Christodoulides, Demetrios N; Wise, Frank W

    2015-01-01

    Despite the abundance and importance of three-dimensional systems, relatively little progress has been made on spatiotemporal nonlinear optical waves compared to time-only or space-only systems. Here we study radiation emitted by three-dimensionally evolving nonlinear optical waves in multimode fiber. Spatiotemporal oscillations of solitons in the fiber generate multimode dispersive wave sidebands over an ultrabroadband spectral range. This work suggests routes to multipurpose sources of coherent electromagnetic waves, with unprecedented wavelength coverage.

  20. Multimode uncertainty relations and separability of continuous variable states

    CERN Document Server

    Serafini, A

    2006-01-01

    A multimode uncertainty relation (generalising the Robertson-Schroedinger relation) is derived as a necessary constraint on the second moments of n pairs of canonical operators. In turn, necessary conditions for the separability of multimode continuous variable states under (m+n)-mode bipartitions are derived from the uncertainty relation. These conditions are proven to be necessary and sufficient for (1+n)-mode Gaussian states and for (m+n)-mode bisymmetric Gaussian states.

  1. The rotational memory effect of a multimode fiber

    CERN Document Server

    Amitonova, L V; Pinkse, P W H

    2015-01-01

    We demonstrate the rotational memory effect in a multimode fiber. Rotating the incident wavefront around the fiber core axis leads to a rotation of the resulting pattern of the fiber output without significant changes in the resulting speckle pattern. The rotational memory effect can be exploited for non-invasive imaging or ultrafast high-resolution scanning through a multimode fiber. Our experiments demonstrate this effect over a full range of angles in two experimental configurations.

  2. Cognitive Construction of Multimodal Metaphor in COLOURFUL GUIZHOU promo

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Based on multimodal metaphor theory,the processes of cognitive construction of Multimodal Metaphor in dynamic discourse are analyzed in colorful Guizhou promo as the subject. The thesis focuses on the interaction of different modal and the process of dynamic metaphor’s construction with the genre characteristic of promos.We find that this promo is not only to impressed audiences with language,image and voice,but also has direct connection with audiences for largely propagandizin.

  3. Cognitive Construction of Multimodal Metaphor in COLOURFUL GUIZHOU promo

    Institute of Scientific and Technical Information of China (English)

    王然; 颜至敏; 曾贤模

    2015-01-01

    Based on multimodal metaphor theory,the processes of cognitive construction of Multimodal Metaphor in dynamic discourse are analyzed in colorful Guizhou promo as the subject.The thesis focuses on the interaction of different modal and the process of dynamic metaphor’s construction with the genre characteristic of promos.We find that this promo is not only to impressed audiences with language,image and voice,but also has direct connection with audiences for largely propagandizin.

  4. Knowledge translation in health care as a multimodal interactional accomplishment

    DEFF Research Database (Denmark)

    Kjær, Malene

    2014-01-01

    In the theory of health care, knowledge translation is regarded as a crucial phenomenon that makes the whole health care system work in a desired manner. The present paper studies knowledge translation from the student nurses’ perspective and does that through a close analysis of the part...... knowledge gets translated through the use of rich multimodal embodied interactions, whereas the more abstract aspects of knowledge remain untranslated. Overall, the study contributes to the understanding of knowledge translation as a multimodal, locally situated accomplishment....

  5. Deep Dynamic Neural Networks for Multimodal Gesture Segmentation and Recognition

    OpenAIRE

    Wu, Di; Pigou, Lionel; Kindermans, Pieter-Jan; Le, Nam Do-Hoang; Shao, Ling; Dambre, Joni; Odobez, Jean-Marc

    2016-01-01

    This paper describes a novel method called Deep Dynamic Neural Networks (DDNN) for multimodal gesture recognition. A semi-supervised hierarchical dynamic framework based on a Hidden Markov Model (HMM) is proposed for simultaneous gesture segmentation and recognition where skeleton joint information, depth and RGB images, are the multimodal input observations. Unlike most traditional approaches that rely on the construction of complex handcrafted features, our approach learns high-level spatio...

  6. Fusion of Multimodal Information in Music Content Analysis

    OpenAIRE

    Essid, Slim; Richard, Gaël

    2012-01-01

    Music is often processed through its acoustic realization. This is restrictive in the sense that music is clearly a highly multimodal concept where various types of heterogeneous information can be associated to a given piece of music (a musical score, musicians' gestures, lyrics, user-generated metadata, etc.). This has recently led researchers to apprehend music through its various facets, giving rise to "multimodal music analysis" studies. This article gives a synthetic overview of methods...

  7. Joint Sparsity-Based Robust Multimodal Biometrics Recognition

    Science.gov (United States)

    2012-10-07

    joint sparsity-based algorithm for multimodal biometrics recognition. Our method is based on the well known regu- larized regression method, multi-task...multivariate Lasso [7, 8]. Figure. 1 presents an overview of our method. This paper makes the following contributions: – We present a robust feature...reduces to the conventional Lasso [10] when D = 1 and d = 1. For D = 1 (1), it is equivalent to multivariate Lasso [7]. 2.2 Robust Multimodal

  8. Phonological Consciousness Raising Tasks for the ESP Classroom.

    Science.gov (United States)

    Sterlacci, Peter

    A discussion of pronunciation instruction in English for business communication focuses on raising learners' awareness of how English is spoken by various language groups around the world. It is argued that phonological consciousness-raising is an effective approach for limiting breakdowns in communication. The approach assumes that developing…

  9. 47 CFR 25.282 - Orbit raising maneuvers.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Orbit raising maneuvers. 25.282 Section 25.282... Technical Operations § 25.282 Orbit raising maneuvers. A space station authorized to operate in the geostationary satellite orbit under this part is also authorized to transmit in connection with...

  10. African American Single Mothers Raising Sons: Implications for Family Therapy

    Science.gov (United States)

    Gantt, Ann L.; Greif, Geoffrey L.

    2009-01-01

    Being raised by a single mother is one factor that has been suggested as contributing to the plight of African American males. Yet few studies have focused specifically on African American single mothers' experiences with raising sons. This qualitative study explored the following questions: (1) What are the experiences of African American single…

  11. Consciousness-raising Activities in Communicative Language Teaching

    Institute of Scientific and Technical Information of China (English)

    Cui Xiaoxia

    2011-01-01

    This study is based mainly on the theories of grammatical instruction in communicative methodologies. In review of the related theories,this paper presents the methodologies,and designs three consciousness-raising tasks to verify the effectiveness of consciousness-raising instruction.

  12. Multimodal sensory testing of the rectum and rectosigmoid: development and reproducibility of a new method.

    Science.gov (United States)

    Brock, C; Nissen, T D; Gravesen, F H; Frøkjaer, J B; Omar, H; Gale, J; Gregersen, H; Svendsen, O; Drewes, A M

    2008-08-01

    Evaluation of rectal and rectosigmoid sensation is important in basic, clinical and pharmacological studies. New methods to evoke and assess multimodal (electrical, thermal and mechanical) experimental pain of the upper gut activate distinct pathways and mimics clinical pain. The aims of the current study were to characterize the sensory response and reproducibility to multimodal stimulation of rectum and the rectosigmoid. A multimodal rectal probe was developed. Mucosal electrostimulation was delivered at the recto-sigmoid junction. In Rectum, impedance planimetry was used for measurement of cross-sectional area (CSA) during distension. Circulation of water within the bag at either 4 or 60 degrees C was applied for thermal stimulation. The method was tested in 12 healthy volunteers (six men mean age 32 years) on two subsequent days. Mechanical and sensory responses and referred pain areas were assessed. Stimulation with electrical, thermal and mechanical modalities resulted in different sensory perceptions. The relationship between stimulus intensity and sensory response was linear for all modalities. Sensory response to different modalities did not differ between investigation days (all P-values > 0.1). Approximately 75% of subjects felt referred pain in distinct skin locations. Between-days reproducibility was good for all modalities [intra-class correlation (ICC) > or = 0.6]. At sensory threshold, CSA showed best reproducibility (ICC > or = 0.9). At pain detection threshold stretch ratio, CSA and electrostimulation showed best reproducibility (ICC = 1.0; 0.9; 0.9). The present model was easily implemented, robust and showed good reproducibility. It can be used to study pathophysiology or pharmacological interventions in healthy controls and in patients with diseases involving the distal hindgut.

  13. Multi-mode interaction middleware for software services

    Institute of Scientific and Technical Information of China (English)

    TAO XianPing; MA XiaoXing; LU Jian; YU Ping; ZHOU Yu

    2008-01-01

    Due to the independency, variability, and tailorability of software service in the open environment, the research of middleware which supports software services multi-mode interaction is thus of great importance. In this paper, an agent-based multi-mode interaction middleware model and its supporting system for software services were proposed. This model includes an interaction feature decomposition and configuration model to enable interaction programming, an agent-based mid-dleware model, and a programmable coordination media based on reflection technology. The decomposition and configuration model for interaction features can assist programmers in interaction programming by analyzing and synthesizing interaction features. The agent-based middleware model provides a runtime framework for service multi-mode interaction. The programmable coordination media is able to effectively support software service coordination based on multi-mode interaction. To verify feasibility and efficiency of the above method, the de-sign, implementation and performance analysis of Artemis-M3C, a multi-mode in-teraction middleware for software services, were introduced. The result shows that the above method is feasible and that the Artemis-M3C system is practical and ef-fective in multi-mode interaction.

  14. A Single-Photon Subtractor for Multimode Quantum States

    Science.gov (United States)

    Ra, Young-Sik; Jacquard, Clément; Averchenko, Valentin; Roslund, Jonathan; Cai, Yin; Dufour, Adrien; Fabre, Claude; Treps, Nicolas

    2016-05-01

    In the last decade, single-photon subtraction has proved to be key operations in optical quantum information processing and quantum state engineering. Implementation of the photon subtraction has been based on linear optics and single-photon detection on single-mode resources. This technique, however, becomes unsuitable with multimode resources such as spectrally multimode squeezed states or continuous variables cluster states. We implement a single-photon subtractor for such multimode resources based on sum-frequency generation and single-photon detection. An input multimode quantum state interacts with a bright control beam whose spectrum has been engineered through ultrafast pulse-shaping. The multimode quantum state resulting from the single-photon subtractor is analyzed with multimode homodyne detection whose local oscillator spectrum is independently engineered. We characterize the single-photon subtractor via coherent-state quantum process tomography, which provides its mode-selectivity and subtraction modes. The ability to simultaneously control the state engineering and its detection ensures both flexibility and scalability in the production of highly entangled non-Gaussian quantum states.

  15. Multimodal processes scheduling in mesh-like network environment

    Directory of Open Access Journals (Sweden)

    Bocewicz Grzegorz

    2015-06-01

    Full Text Available Multimodal processes planning and scheduling play a pivotal role in many different domains including city networks, multimodal transportation systems, computer and telecommunication networks and so on. Multimodal process can be seen as a process partially processed by locally executed cyclic processes. In that context the concept of a Mesh-like Multimodal Transportation Network (MMTN in which several isomorphic subnetworks interact each other via distinguished subsets of common shared intermodal transport interchange facilities (such as a railway station, bus station or bus/tram stop as to provide a variety of demand-responsive passenger transportation services is examined. Consider a mesh-like layout of a passengers transport network equipped with different lines including buses, trams, metro, trains etc. where passenger flows are treated as multimodal processes. The goal is to provide a declarative model enabling to state a constraint satisfaction problem aimed at multimodal transportation processes scheduling encompassing passenger flow itineraries. Then, the main objective is to provide conditions guaranteeing solvability of particular transport lines scheduling, i.e. guaranteeing the right match-up of local cyclic acting bus, tram, metro and train schedules to a given passengers flow itineraries.

  16. Apatia multimodal iatrogênica Multimodal apathy: a unique effect of antidepressant therapy at the neurological-psychiatric interface

    Directory of Open Access Journals (Sweden)

    Ricardo de Oliveira-Souza

    1996-06-01

    Full Text Available O presente trabalho documenta um efeito peculiar dos antidepressivos em 5 pacientes - a apatia -, definida pela incapacidade de experimentar emoções. O reconhecimento da apatia no curso de tratamento antidepressivo deve levantar a possibilidade de iatrogenia e suspensão do antidepressivo em uso. Frizamos que a apatia deve ser diferenciada da abulia e da avolição, com as quais é comumente contundida. Documentamos que a indiferença emocional pode se confinar a um domínio sensorial ("apatia unimodal" ou, como em nossos casos, a mais de uma modalidade ("apatia multimodal". Circuitos anterobasais, centrados na amígdala e no pólo temporal, são fortes candidatos para integrar a experiência emocional às imagens mentais e percepções multimodais do ambiente, uma vez que para eles convergem os principais sistemas de projeção do prosencéfalo, ao mesmo tempo em que se situam em pontos estratégicos para modular o córtex pré-frontal e parieto-têmporo-occipital. O fato de que a apatia foi produzida por classes quimicamente distintas, como ISRSs (inibidores seletivos de recaptação da serotonina, IMAOs (inibidores reversíveis da monoamino oxidase e tricíclicos, indica que a fisiopatologia em jogo se deve a alguma ação compartilhada por essas drogas no plano subneuronal. A intervenção em circuitos serotoninérgicos cerebrais parece o mecanismo mais adequado para explicar tal efeito.The present paper reports on five patients who developed apathy as a peculiar side effect of antidepressants. Their behavioral and psychopathological changes were primarily due to the near-absence of emotional experience, a key characteristic that distinguishes apathy from avolition and abulia. The emergence of apathy in the course of an antidepressant treatment should raise the suspicion of an adverse effect of the drug and lead to its prompt withdrawal. A sample of the relevant clinical evidence favoring the distinction of apathy confined to a single

  17. Multi-Modal Treatment Approach to Painful Rib Syndrome: Case Series and Review of the Literature.

    Science.gov (United States)

    Germanovich, Andrew; Ferrante, Francis Michael

    2016-03-01

    Mechanical chest wall pain is a common presenting complaint in the primary care office, emergency room, and specialty clinic. Diagnostic testing is often expensive due to similar presenting symptoms that may involve the heart or lungs. Since the chest wall biomechanics are poorly understood by many clinicians, few effective treatments are offered to patients with rib-related acute pain, which may lead to chronic pain. This case series and literature review illustrates biomechanics involved in the pathogenesis of rib-related chest wall pain and suggests an effective multi-modal treatment plan using interventional techniques with emphasis on manual manipulative techniques. Case series and literature review. Pain clinic in an academic medical center. This is a case series of 3 patients diagnosed with painful rib syndrome using osteopathic palpatory physical examination techniques. Ultrasound-guided intercostal nerve blocks were followed by manual manipulation of mechanically displaced ribs as a part of our multi-modal treatment plan. A review of the literature was undertaken to clarify nomenclature used in the description of rib-related pain, to describe the biomechanics involved in the pathogenesis of mechanical rib pain, and to illustrate the use of effective manual manipulation techniques. This review is introductory and not a complete review of all manual or interventional pain management techniques applicable to the treatment of mechanical rib-related pain. Manual diagnostic and therapeutic skills can be learned by physicians to treat biomechanically complex rib-related chest wall pain in combination with interventional image-guided techniques. Pain physicians should learn certain basic manual manipulation skills both for diagnostic and therapeutic purposes.

  18. Multimodal Communication in an Eighth Grade History Classroom : A study from a design theoretical and multimodal perspective

    OpenAIRE

    Parry, Michael

    2016-01-01

    The following essay was written in Stockholm, Sweden in the autumn of 2015 at Stockholm University. The purpose of this study is to explore the forms of multimodal communication that are used in the classroom as meaning making prompts. The study is from a multimodal and design theoretical perspective and uses the model Learning Design Sequence as a framework for collecting and analysing data. A qualitative method is being used for collecting data from video observation, from two eighth grade ...

  19. IMMEDIATE EFFECT OF NEURODYNAMIC SLIDING TECHNIQUE VERSUS MULLIGAN BENT LEG RAISE TECHNIQUE ON HAMSTRING FLEXIBILITY IN ASYMPTOMATIC INDIVIDUALS

    Directory of Open Access Journals (Sweden)

    Vinod Babu .K

    2015-08-01

    Full Text Available Background: Neurodynamics sliding technique (NDST and Mulligan bent leg raise technique (MBLR both have been individually advocated for increasing hamstring flexibility but comparison of these techniques have not been found in studies. The purpose of the study was to find immediate effect of neurodynamic sliding technique versus mulligan bent leg raise technique on hamstring flexibility in asymptomatic individuals. Methods: An Experimental study designs, with two group 80 asymptomatic normal subjects were randomized 40 subjects into each NDST group and MBLR group. NDST group received Neurodynamic sliding technique and MBLR group received Mulligan bent leg raise technique; passive straight leg raise was taken as outcome measure pre and post intervention. Results: When means of post intervention were compared there is statistically significant difference in means of passive SLR ROM within the groups but there is no statistically significant difference in post intervention means between the groups. Conclusion: It is concluded that both NDST and MBLR technique are effective on improving hamstring flexibility for asymptomatic individuals with limited SLR ROM. However there is no significant difference in improvement in hamstring flexibility between the groups.

  20. The cortical activation pattern during bilateral arm raising movements

    Science.gov (United States)

    Jang, Sung Ho; Seo, Jung Pyo; Lee, Seung-Hyun; Jin, Sang-Hyun; Yeo, Sang Seok

    2017-01-01

    Bilateral arm raising movements have been used in brain rehabilitation for a long time. However, no study has been reported on the effect of these movements on the cerebral cortex. In this study, using functional near infrared spectroscopy (fNIRS), we attempted to investigate cortical activation generated during bilateral arm raising movements. Ten normal subjects were recruited for this study. fNIRS was performed using an fNIRS system with 49 channels. Bilateral arm raising movements were performed in sitting position at the rate of 0.5 Hz. We measured values of oxyhemoglobin and total hemoglobin in five regions of interest: the primary sensorimotor cortex, premotor cortex, supplementary motor area, prefrontal cortex, and posterior parietal cortex. During performance of bilateral arm raising movements, oxyhemoglobin and total hemoglobin values in the primary sensorimotor cortex, premotor cortex, supplementary motor area, and prefrontal cortex were similar, but higher in these regions than those in the prefrontal cortex. We observed activation of the arm somatotopic areas of the primary sensorimotor cortex and premotor cortex in both hemispheres during bilateral arm raising movements. According to this result, bilateral arm raising movements appeared to induce large-scale neuronal activation and therefore arm raising movements would be good exercise for recovery of brain functions. PMID:28400816

  1. Multimodal exercise training in multiple sclerosis: A randomized controlled trial in persons with substantial mobility disability.

    Science.gov (United States)

    Sandroff, Brian M; Bollaert, Rachel E; Pilutti, Lara A; Peterson, Melissa L; Baynard, Tracy; Fernhall, Bo; McAuley, Edward; Motl, Robert W

    2017-10-01

    Mobility disability is a common, debilitating feature of multiple sclerosis (MS). Exercise training has been identified as an approach to improve MS-related mobility disability. However, exercise randomized controlled trials (RCTs) on mobility in MS have generally not selectively targeted those with the onset of irreversible mobility disability. The current multi-site RCT compared the efficacy of 6-months of supervised, multimodal exercise training with an active control condition for improving mobility, gait, physical fitness, and cognitive outcomes in persons with substantial MS-related mobility disability. 83 participants with substantial MS-related mobility disability underwent initial mobility, gait, fitness, and cognitive processing speed assessments and were randomly assigned to 6-months of supervised multimodal (progressive aerobic, resistance, and balance) exercise training (intervention condition) or stretching-and-toning activities (control condition). Participants completed the same outcome assessments halfway through and immediately following the 6-month study period. There were statistically significant improvements in six-minute walk performance (F(2158)=3.12, p=0.05, ηp(2)=0.04), peak power output (F(2150)=8.16, pdisability. This is critical for informing the development of multi-site exercise rehabilitation programs in larger samples of persons with MS-related mobility disability. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial.

    Science.gov (United States)

    Galvão, Daniel A; Taaffe, Dennis R; Cormie, Prue; Spry, Nigel; Chambers, Suzanne K; Peddle-McIntyre, Carolyn; Baker, Michael; Denham, James; Joseph, David; Groom, Geoff; Newton, Robert U

    2011-12-13

    The presence of bone metastases has excluded participation of prostate cancer patients in exercise intervention studies to date and is also a relative contraindication to supervised exercise in the community setting because of concerns of fragility fracture. However, this group of patients often have developed significant muscle atrophy and functional impairments from prior and continuing androgen deprivation that is exacerbated by subsequent and more intensive interventions such as chemotherapy. The aim of this study is to determine the efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases. Multi-site randomized controlled trial in Western Australia and New South Wales to examine the efficacy and safety of a modular multi-modal physical exercise program in 90 prostate cancer survivors with bone metastases. Participants will be randomized to (1) modular multi-modal exercise intervention group or (2) usual medical care group. The modular multi-modal exercise group will receive a 3-month supervised exercise program based on bone lesion location/extent. Measurements for primary and secondary endpoints will take place at baseline, 3 months (end of the intervention) and 6 months follow-up. Delaying or preventing skeletal complication and improving physical function for men with bone metastases would provide clinically meaningful benefits to patients. However, exercise programs must be designed and executed with careful consideration of the skeletal complications associated with bone metastatic disease and cumulative toxicities from androgen deprivation such as osteoporosis and increased risk of fractures. The results from this study will form the basis for the development of a specific exercise prescription in this patient group in order to alleviate disease burden, counteract the adverse treatment related side-effects and enhance quality of life. ACTRN: ACTRN12611001158954.

  3. A multimodal approach to dementia prevention: A report from the Cambridge Institute of Public Health.

    Science.gov (United States)

    Olanrewaju, Olawale; Clare, Linda; Barnes, Linda; Brayne, Carol

    2015-11-01

    Globally, dementia is the most frequent form of degenerative condition in the older adult population and poses a major health burden with high socioeconomic costs. So far, attempts to find pharmacologic interventions that can change the onset or progression of dementia have been largely unsuccessful, prompting a shift to focus on interventions aimed at modifying risk factors that occur throughout the life course. The Cognitive Function and Ageing Studies, funded by the Medical Research Council, UK, convened three multidisciplinary groups of experts, expert witnesses, and advocates to discuss the state of evidence on primary, secondary, and tertiary dementia prevention and recommend future direction for intervention studies. Using the United Kingdom Parliamentary Select Committees' approach to gathering evidence, the primary prevention working group focused their deliberation on risk factors strongly associated with dementia. The group highlighted the need for high-quality studies to assess the effects of behavioral intervention on the delay of cognitive decline and dementia onset. The working group recommended that the development of a future dementia prevention trial should use a multimodal, multifactor, multilevel, community and individually tailored approach.

  4. Raising Citizens: Parenting Education Classes and Somali Mothers’ Experiences of Childrearing in Canada

    Directory of Open Access Journals (Sweden)

    Melissa Fellin

    2015-09-01

    Full Text Available Mothers are viewed as the people who are raising future citizens of Canada; therefore, their parenting practices are being targeted for intervention by civic organizations funded by the state. In this article, I argue that modernity narratives and neoliberalism approaches to mothering inform parenting education classes for Somali refugee women to Canada. Thus, Somali women are often seen as victims. Stereotyped identities conceal their social and historical agency. This research draws on 15 individual interviews with Somali mothers and participant- observation in two parenting education classes in Canada.

  5. Multimodal intraoperative neuromonitoring in corrective surgery for adolescent idiopathic scoliosis: Evaluation of 354 consecutive cases

    Directory of Open Access Journals (Sweden)

    Kundnani Vishal

    2010-01-01

    Full Text Available Background : Multimodal intraoperative neuromonitoring is recommended during corrective spinal surgery, and has been widely used in surgery for spinal deformity with successful outcomes. Despite successful outcomes of corrective surgery due to increased safety of the patients with the usage of spinal cord monitoring in many large spine centers, this modality has not yet achieved widespread popularity. We report the analysis of prospectively collected intraoperative neurophysiological monitoring data of 354 consecutive patients undergoing corrective surgery for adolescent idiopathic scoliosis (AIS to establish the efficacy of multimodal neuromonitoring and to evaluate comparative sensitivity and specificity. Materials and Methods : The study group consisted of 354 (female = 309; male = 45 patients undergoing spinal deformity corrective surgery between 2004 and 2008. Patients were monitored using electrophysiological methods including somatosensory-evoked potentials and motor-evoked potentials simultaneously. Results : Mean age of patients was 13.6 years (±2.3 years. The operative procedures involved were instrumented fusion of the thoracic/lumbar/both curves, Baseline somatosensory-evoked potentials (SSEP and neurogenic motor-evoked potentials (NMEP were recorded successfully in all cases. Thirteen cases expressed significant alert to prompt reversal of intervention. All these 13 cases with significant alert had detectable NMEP alerts, whereas significant SSEP alert was detected in 8 cases. Two patients awoke with new neurological deficit (0.56% and had significant intraoperative SSEP + NMEP alerts. There were no false positives with SSEP (high specificity but 5 patients with false negatives with SSEP (38% reduced its sensitivity. There was no false negative with NMEP but 2 of 13 cases were false positive with NMEP (15%. The specificity of SSEP (100% is higher than NMEP (96%; however, the sensitivity of NMEP (100% is far better than SSEP (51

  6. [Intervention of Schizophrenia From the Community Model].

    Science.gov (United States)

    Taborda Zapata, Eliana María; Montoya González, Laura Elisa; Gómez Sierra, Natalia María; Arteaga Morales, Laura María; Correa Rico, Oscar Andrés

    2016-01-01

    Schizophrenia is a complex disease for which pharmacological management is an insufficient therapeutic measure to ensure adaptation to the community and restoring the quality of life of the patient, with a multidimensional management and community interventions being necessary. Case report. This case report illustrates a multidisciplinary treatment response, based on a community care model for mental health from Envigado, Colombia. The management of schizophrenia requires multimodal interventions that include community screening, psychoeducation of individuals, their families and society, addressing different areas of operation that allow adaptation of the subject to his social environment. A integrated intervention that can be provided on a Community scale, with the implementation of policies that allow it to be applied. Copyright © 2015 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  7. Combined interventional therapies of hepatocellular carcinoma

    Institute of Scientific and Technical Information of China (English)

    Jun Qian; Gan-Sheng Feng; Thomas Vogl

    2003-01-01

    Hepatocellular carcinoma (HCC) is one of the most commonmalignancies in the world, responsible for an estimated one million deaths annually. It has a poor prognosis due to its rapid infiltrating growth and complicating liver cirrhosis.Surgical resection, liver transplantation and cryosurgery are considered the best curative options, achieving a high rate of complete response, especially in patients with small HCC and good residual liver function. In nonsurgery, regional interventional therapies have led to a major breakthrough in the management of unresectable HCC, which include transarterial chemoembolization (TACE), percutaneous ethanol injection (PEI), radiofrequency ablation (RFA), microwave coagulation therapy (MCT), laser-induced thermotherapy (LITT), etc. As a result of the technical development of locoregional approaches for HCC during the recent decades,the range of combined interventional therapies has been continuously extended. Most combined multimodal interventional therapies reveal their enormous advantages as compared with any single therapeutic regimen alone,and play more important roles in treating unresectable HCC.

  8. Multimode optomechanical system in the quantum regime

    CERN Document Server

    Nielsen, William H P; Møller, Christoffer B; Polzik, Eugene S; Schliesser, Albert

    2016-01-01

    We realise a simple and robust optomechanical system with a multitude of long-lived ($Q>10^7$) mechanical modes in a phononic-bandgap shielded membrane resonator. An optical mode of a compact Fabry-Perot resonator detects these modes' motion with a measurement rate ($96~\\mathrm{kHz}$) that exceeds the mechanical decoherence rates already at moderate cryogenic temperatures ($10\\,\\mathrm{K}$). Reaching this quantum regime entails, i.~a., quantum measurement backaction exceeding thermal forces, and thus detectable optomechanical quantum correlations. In particular, we observe ponderomotive squeezing of the output light mediated by a multitude of mechanical resonator modes, with quantum noise suppression up to -2.4 dB (-3.6 dB if corrected for detection losses) and bandwidths $\\lesssim 90\\,\\mathrm{ kHz}$. The multi-mode nature of the employed membrane and Fabry-Perot resonators lends itself to hybrid entanglement schemes involving multiple electromagnetic, mechanical, and spin degrees of freedom.

  9. Multimodal interaction for human-robot teams

    Science.gov (United States)

    Burke, Dustin; Schurr, Nathan; Ayers, Jeanine; Rousseau, Jeff; Fertitta, John; Carlin, Alan; Dumond, Danielle

    2013-05-01

    Unmanned ground vehicles have the potential for supporting small dismounted teams in mapping facilities, maintaining security in cleared buildings, and extending the team's reconnaissance and persistent surveillance capability. In order for such autonomous systems to integrate with the team, we must move beyond current interaction methods using heads-down teleoperation which require intensive human attention and affect the human operator's ability to maintain local situational awareness and ensure their own safety. This paper focuses on the design, development and demonstration of a multimodal interaction system that incorporates naturalistic human gestures, voice commands, and a tablet interface. By providing multiple, partially redundant interaction modes, our system degrades gracefully in complex environments and enables the human operator to robustly select the most suitable interaction method given the situational demands. For instance, the human can silently use arm and hand gestures for commanding a team of robots when it is important to maintain stealth. The tablet interface provides an overhead situational map allowing waypoint-based navigation for multiple ground robots in beyond-line-of-sight conditions. Using lightweight, wearable motion sensing hardware either worn comfortably beneath the operator's clothing or integrated within their uniform, our non-vision-based approach enables an accurate, continuous gesture recognition capability without line-of-sight constraints. To reduce the training necessary to operate the system, we designed the interactions around familiar arm and hand gestures.

  10. A System for Multimodal Context-Awareness

    Directory of Open Access Journals (Sweden)

    Georgios Galatas

    2013-10-01

    Full Text Available in this paper we present the improvement of our novel localization system, by introducing radio-frequency identification (RFID which adds person identification capabilities and increases multi-person localization robustness. Our system aims at achieving multi-modal context-awareness in an assistive, ambient intelligence environment. The unintrusive devices used are RFID and 3-D audio-visual information from 2 Kinect sensors deployed at various locations of a simulated apartment to continuously track and identify its occupants, thus enabling activity monitoring. More specifically, we use skeletal tracking conducted on the depth images and sound source localization conducted on the audio signals captured by the Kinect sensors to accurately localize and track multiple people. RFID information is used mainly for identification purposes but also for rough location estimation, enabling mapping of the location information from the Kinect sensors to the identification events of the RFID. Our system was evaluated in a real world scenario and attained promising results exhibiting high accuracy, therefore showing the great prospect of using the RFID and Kinect sensors jointly to solve the simultaneous identification and localization problem.

  11. Exploring Academic Voice in Multimodal Quantitative Texts

    Directory of Open Access Journals (Sweden)

    Robert Prince

    2014-10-01

    Full Text Available Research on students’ academic literacies practices has tended to focus on the written mode in order to understand the academic conventions necessary to access Higher Education. However, the representation of quantitative information can be a challenge to many students. Quantitative information can be represented through a range of modes (such as writing, visuals and numbers and different information graphics (such as tables, charts, graphs. This paper focuses on the semiotic aspects of graphic representation in academic work, using student and published data from the Health Science, and an information graphic from the social domain as a counterpoint to explore aspects about agency and choice in academic voice in multimodal texts. It explores voice in terms of three aspects which work across modes, namely authorial engagement, citation and modality. The work of different modes and their inter-relations in quantitative texts is established, as is the use of sources in citation. We also look at the ways in which credibility and validity are established through modality. This exploration reveals that there is a complex interplay of modes in the construction of academic voice, which are largely tacit. This has implications for the way we think about and teach writing and text-making in quantitative disciplines in Higher Education.

  12. Multimodal approaches for emotion recognition: a survey

    Science.gov (United States)

    Sebe, Nicu; Cohen, Ira; Gevers, Theo; Huang, Thomas S.

    2005-01-01

    Recent technological advances have enabled human users to interact with computers in ways previously unimaginable. Beyond the confines of the keyboard and mouse, new modalities for human-computer interaction such as voice, gesture, and force-feedback are emerging. Despite important advances, one necessary ingredient for natural interaction is still missing-emotions. Emotions play an important role in human-to-human communication and interaction, allowing people to express themselves beyond the verbal domain. The ability to understand human emotions is desirable for the computer in several applications. This paper explores new ways of human-computer interaction that enable the computer to be more aware of the user's emotional and attentional expressions. We present the basic research in the field and the recent advances into the emotion recognition from facial, voice, and physiological signals, where the different modalities are treated independently. We then describe the challenging problem of multimodal emotion recognition and we advocate the use of probabilistic graphical models when fusing the different modalities. We also discuss the difficult issues of obtaining reliable affective data, obtaining ground truth for emotion recognition, and the use of unlabeled data.

  13. Haptic-Multimodal Flight Control System Update

    Science.gov (United States)

    Goodrich, Kenneth H.; Schutte, Paul C.; Williams, Ralph A.

    2011-01-01

    The rapidly advancing capabilities of autonomous aircraft suggest a future where many of the responsibilities of today s pilot transition to the vehicle, transforming the pilot s job into something akin to driving a car or simply being a passenger. Notionally, this transition will reduce the specialized skills, training, and attention required of the human user while improving safety and performance. However, our experience with highly automated aircraft highlights many challenges to this transition including: lack of automation resilience; adverse human-automation interaction under stress; and the difficulty of developing certification standards and methods of compliance for complex systems performing critical functions traditionally performed by the pilot (e.g., sense and avoid vs. see and avoid). Recognizing these opportunities and realities, researchers at NASA Langley are developing a haptic-multimodal flight control (HFC) system concept that can serve as a bridge between today s state of the art aircraft that are highly automated but have little autonomy and can only be operated safely by highly trained experts (i.e., pilots) to a future in which non-experts (e.g., drivers) can safely and reliably use autonomous aircraft to perform a variety of missions. This paper reviews the motivation and theoretical basis of the HFC system, describes its current state of development, and presents results from two pilot-in-the-loop simulation studies. These preliminary studies suggest the HFC reshapes human-automation interaction in a way well-suited to revolutionary ease-of-use.

  14. Practical applications of multimodal NDT data

    Science.gov (United States)

    Frankle, Robert S.

    1993-01-01

    Today's powerful computer workstations enable multimodal nondestructive testing (NDT) to be used for such practical applications as detecting and evaluating defects in structures. Radiography (x ray) and ultrasonics (UT) are examples of two different nondestructive tests, or modalities, which measure characteristics of materials and structures without affecting them. Traditionally, NDT produced an analog result, such as an image on x-ray film, which was difficult to review, interpret, and store. New and more powerful digital NDT techniques, such as industrial x-ray computed tomography (CT), produce digital output that is readily amenable to computerized analysis and storage. Computers are now available with sufficient memory and performance to support interactive processing of digital NDT data sets, which can easily exceed 100 megabytes. Numerous data sets can be stored on small, inexpensive tape cassettes. Failure Analysis Associates, Inc. (FaAA) has developed software-based techniques for using NDT to identify defects in structures. These techniques are also used to visualize the NDT data and to analyze the structural integrity of parts containing NDT-detected defects. FaAA's approach employs state-of-the-art scientific visualization and computer workstation technology. For some types of materials, such as advanced composites, data from different NDT modalities are needed to locate different types of defects. Applications of this technology include assessment of impact damage in composite aerospace structures, investigation of failed assemblies, and evaluation of metallic casting defects.

  15. Multimodal optical imaging for detecting breast cancer

    Science.gov (United States)

    Patel, Rakesh; Khan, Ashraf; Wirth, Dennis; Kamionek, Michal; Kandil, Dina; Quinlan, Robert; Yaroslavsky, Anna N.

    2012-06-01

    The goal of the study was to evaluate wide-field and high-resolution multimodal optical imaging, including polarization, reflectance, and fluorescence for the intraoperative detection of breast cancer. Lumpectomy specimens were stained with 0.05 mg/ml aqueous solution of methylene blue (MB) and imaged. Wide-field reflectance images were acquired between 390 and 750 nm. Wide-field fluorescence images were excited at 640 nm and registered between 660 and 750 nm. High resolution confocal reflectance and fluorescence images were excited at 642 nm. Confocal fluorescence images were acquired between 670 nm and 710 nm. After imaging, the specimens were processed for hematoxylin and eosin (H&E) histopathology. Histological slides were compared with wide-field and high-resolution optical images to evaluate correlation of tumor boundaries and cellular morphology, respectively. Fluorescence polarization imaging identified the location, size, and shape of the tumor in all the cases investigated. Averaged fluorescence polarization values of tumor were higher as compared to normal tissue. Statistical analysis confirmed the significance of these differences. Fluorescence confocal imaging enabled cellular-level resolution. Evaluation and statistical analysis of MB fluorescence polarization values registered from single tumor and normal cells demonstrated higher fluorescence polarization from cancer. Wide-field high-resolution fluorescence and fluorescence polarization imaging shows promise for intraoperative delineation of breast cancers.

  16. Multimodal MR examination in acute ischemic stroke

    Energy Technology Data Exchange (ETDEWEB)

    Mezzapesa, D.M.; Petruzzellis, M.; Lucivero, V.; Prontera, M.; Tinelli, A.; Sancilio, M.; Carella, A.; Federico, F. [University of Bari, Department of Neurological and Psychiatric Sciences, Bari (Italy)

    2006-04-15

    In recent years, combined diffusion-weighted imaging (DWI) with perfusion imaging (PI) has become an important investigational tool in the acute phase of ischemic stroke, as it may differentiate reversible from irreversible brain tissue damage. We consecutively examined 20 subjects within 12 h of stroke onset using a multiparametric magnetic resonance (MR) examination consisting of DWI, mean transit time (MTT) as PI parameter, and MR angiography (MRA). T2-weighted and fluid-attenuated inversion recovery (FLAIR) on day 7 were also acquired in order to obtain final infarct volume. The following MR parameters were considered: volumetric measures of lesion growth and MTT abnormalities, quantification of regional apparent diffusion coefficient (ADC) and visual inspection of MRA findings. Our results showed: (1) an acute DWI lesion was not predictive of lesion growth and the DWI abnormality did not represent the irreversibly infarcted tissue; (2) ADC values in the ischemic penumbra could not predict tissue at risk; (3) the DWI-PI mismatch did not predict lesion growth, and the PI abnormality overestimated the amount of tissue at risk; and (4) patients with proximal middle cerebral artery occlusion had greater initial and final infarct volumes. This study did not demonstrate the prognostic value of a multimodal MR approach in early ischemic stroke; MRA alone provided predictive information about the volumetric evolution of the lesion. (orig.)

  17. Ionizing radiation detector using multimode optical fibers

    Energy Technology Data Exchange (ETDEWEB)

    Suter, J.J. (Johns Hopkins Univ., Laurel, MD (United States). Applied Physics Lab.); Poret, J.C.; Rosen, M. (Johns Hopkins Univ., Baltimore, MD (United States). Dept. of Materials Science and Engineering); Rifkind, J.M. (National Inst. of Health, Baltimore, MD (United States). Lab. of Cellular and Molecular Biology)

    1993-08-01

    An optical ionizing radiation detector, based on the attenuation of 850-nm light in 50/125-[mu]m multimode fibers, is described. The detector is especially well suited for application on spacecraft because of its small design. The detection element consists of a section of coiled fibers that has been designed to strip higher-order optical modes. Cylindrical radiation shields with atomic numbers ranging from Z = 13 (aluminum too) Z = 82 (lead) were placed around the ionizing radiation detector so that the effectiveness of the detector could be measured. By exposing the shields and the detector to 1.25-MeV cobalt 60 radiation, the mass attenuation coefficients of the shields were measured. The detector is based on the phenomenon that radiation creates optical color centers in glass fibers. Electron spin resonance spectroscopy performed on the 50/125-[mu]m fibers showed the presence of germanium oxide and phosphorus-based color centers. The intensity of these centers is directly related to the accumulated gamma radiation.

  18. Multimodal Sensing Interface for Haptic Interaction

    Directory of Open Access Journals (Sweden)

    Carlos Diaz

    2017-01-01

    Full Text Available This paper investigates the integration of a multimodal sensing system for exploring limits of vibrato tactile haptic feedback when interacting with 3D representation of real objects. In this study, the spatial locations of the objects are mapped to the work volume of the user using a Kinect sensor. The position of the user’s hand is obtained using the marker-based visual processing. The depth information is used to build a vibrotactile map on a haptic glove enhanced with vibration motors. The users can perceive the location and dimension of remote objects by moving their hand inside a scanning region. A marker detection camera provides the location and orientation of the user’s hand (glove to map the corresponding tactile message. A preliminary study was conducted to explore how different users can perceive such haptic experiences. Factors such as total number of objects detected, object separation resolution, and dimension-based and shape-based discrimination were evaluated. The preliminary results showed that the localization and counting of objects can be attained with a high degree of success. The users were able to classify groups of objects of different dimensions based on the perceived haptic feedback.

  19. Nanosecond laser damage of optical multimode fibers

    Science.gov (United States)

    Mann, Guido; Krüger, Jörg

    2016-07-01

    For pulse laser materials processing often optical step index and gradient index multimode fibers with core diameters ranging from 100 to 600 μm are used. The design of a high power fiber transmission system must take into account limitations resulting from both surface and volume damage effects. Especially, breakdown at the fiber end faces and selffocusing in the fiber volume critically influence the fiber performance. At least operation charts are desirable to select the appropriate fiber type for given laser parameters. In industry-relevant studies the influence of fiber core diameter and end face preparation on laser-induced (surface) damage thresholds (LIDT) was investigated for frequently used all-silica fiber types (manufacturer LEONI). Experiments on preform material (initial fiber material) and compact specimens (models of the cladding and coating material) accompanied the tests performed in accordance with the relevant LIDT standards ISO 21254-1 and ISO 21254-2 for 1-on-1 and S-on-1 irradiation conditions, respectively. The relation beam diameter vs. LIDT was investigated for fused silica fibers. Additionally, laser-induced (bulk) damage thresholds of fused silica preform material F300 (manufacturer Heraeus) in dependence on external mechanical stress simulating fiber bending were measured. All experiments were performed with 10-ns laser pulses at 1064 and 532 nm wavelength with a Gaussian beam profile.

  20. Government grant control of development of stock-raising

    OpenAIRE

    SAMOYLIK YU.V.

    2012-01-01

    Directions of improvement of mechanism of government grant control of development of stock-raising are offered on the basis of the educed tendencies and conformities to law in the existent system of sponsorship of industry.

  1. Capital raising of aerospace companies: equities or debts?

    Science.gov (United States)

    Hui-Shan, L.; Taw-Onn, Y.; Wai-Mun, H.

    2016-10-01

    Aerospace products enhance national and economic activities, thus maintaining the sustainability of aerospace industry is crucial. One of the perspectives in ensuring sustainability of aerospace companies is expansion of firms by raising funds for research and development in order to provide a reasonable profitability to the firms. This study comprises a sample of 47 aerospace companies from 2009 to 2015 to analyze the impact of raising fund by equities or debts to the profitability of the firms. The result indicates that capital raising through equities is preferable than debts. Moreover, the study also identifies that the profit of aerospace industry is volatile and there is cyclical reduction of the net income in the first quarter of the year. The management needs to make wise decisions in raising fund to ensure a healthy growth of the aerospace company.

  2. Certain Jobs Linked to Raised Risk of Rheumatoid Arthritis

    Science.gov (United States)

    ... Certain Jobs Linked to Raised Risk of Rheumatoid Arthritis Risk was doubled among men who did electrical ... 2017 THURSDAY, Aug. 10, 2017 (HealthDay News) -- Rheumatoid arthritis, a painful disease in which a person's immune ...

  3. Early Virus Raises Asthma Risk in Certain Kids

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_160651.html Early Virus Raises Asthma Risk in Certain Kids: Study Infants ... Topics Asthma in Children Genetic Testing Respiratory Syncytial Virus Infections About MedlinePlus Site Map FAQs Contact Us ...

  4. Raising Social Competencies in a Skill Training Program

    Science.gov (United States)

    Selenski, Charlotte M.; Kaufman, Alan G.

    1976-01-01

    Horizon House, a psycho-social rehabilitation center in Philadelphia, Pennsylvania, has developed a Clerical Preparatory Program which has simultaneously raised achievement levels in the areas of social competency and job skill proficiencies for its clients. (LH)

  5. Raising capital: the role of sovereign wealth funds

    OpenAIRE

    2009-01-01

    This article describes what sovereign wealth funds do, where their funding comes from, and what drives their investment strategies. It also highlights some of the policy issues that their activities raise.

  6. Review Raises Questions about Herbal Meds for Heart Problems

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_163808.html Review Raises Questions About Herbal Meds for Heart Problems ... popular among people with heart disease, a new review suggests. "Physicians should improve their knowledge of herbal ...

  7. 29 CFR 780.615 - Raising of livestock.

    Science.gov (United States)

    2010-07-01

    ... to engage in the raising of livestock as a prerequisite for the exemption of an employee employed in the operations described in section 13(b) (13). Engagement by the farmer in one or more of the other...

  8. Heartburn Drugs May Raise Risk of Stomach Infections

    Science.gov (United States)

    ... Jan. 5 in the British Journal of Clinical Pharmacology , aren't the first to raise such concerns. ... led by Dr. Thomas MacDonald, a professor of pharmacology at the University of Dundee in Scotland. They ...

  9. Could Diet in Pregnancy Raise Child's Odds for ADHD?

    Science.gov (United States)

    ... Could Diet in Pregnancy Raise Child's Odds for ADHD? Study underscores importance of good prenatal nutrition To ... during pregnancy could influence a child's risk of attention-deficit/hyperactivity disorder (ADHD), a new study warns. Researchers found that ...

  10. Obesity in Early Pregnancy May Raise Child's Risk of Epilepsy

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_164428.html Obesity in Early Pregnancy May Raise Child's Risk of ... researchers said. "This means more severe grades of obesity correspond to increasingly higher risk," said study co- ...

  11. Popular Heartburn Meds Don't Raise Alzheimer's Risk

    Science.gov (United States)

    ... 166931.html Popular Heartburn Meds Don't Raise Alzheimer's Risk: Study New research debunks other studies suggesting ... drugs may increase the risk of dementia and Alzheimer's disease in people aged 75 and older. PPIs ...

  12. Air Pollution May Raise Risk of Type 2 Diabetes

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_163536.html Air Pollution May Raise Risk of Type 2 Diabetes Study ... Feb. 10, 2017 (HealthDay News) -- High levels of air pollution may increase some Hispanic children's risk of type ...

  13. Rapid Acquisition Imaging Spectrograph (RAISE) Renewal Proposal Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The optical design of RAISE is based on a new class of UV/EUV imaging spectrometers that use  only two reflections to provide quasi-stigmatic performance...

  14. Pregnancy Choices: Raising the Baby, Adoption, and Abortion

    Science.gov (United States)

    ... PREGNANCY Pregnancy Choices: Raising the Baby, Adoption, and Abortion • What are my options if I find out ... is financial help available? • If I am considering abortion, what should I know about my state’s laws? • ...

  15. Activity and travel choice(s) in multimodal public transport systems

    NARCIS (Netherlands)

    Krygsman, Stephan

    2004-01-01

    Transport planners and policymakers are increasingly considering multimodal public transport and travel demand management (TDM) strategies to stem the unsustainable travel behaviour trends associated with modern-day, car-dominated travel. Multimodal public transport, however, implies that people cha

  16. Vowel Raising in Nkpor Dialect: A Pattern of Sound Change

    Directory of Open Access Journals (Sweden)

    Mbah, Evelyn Ezinwanne

    2013-01-01

    Full Text Available This paper explores a pattern of phonological change known as vowel raising in the Nkpor dialect of the Igbo language. Using a corpus of conversational Nkpor speech collected from the respondents through tape-recording, we presented data from an authority analysis of the vowels and auditory data of vowel raising. The data support three main claims. First, the voiced palatal nasal /ɲ/ is elided. It claims that in a word consisting of two root verbs, the initial verb root contains any consonant and any vowel, and the second verb root contains the voiced palatal nasal /ɲ/ and a mid front vowel /e/, then, the voiced palatal nasal is elided. Second, after the elision, the mid vowel /e/ of the second verb is raised to a high front vowel /i/ or /ɪ/, agreeing with the vowel harmony rule. Third, Nkpor dialect goes beyond the raising of only vowels of the second verb. It further raises vowels of the first verb which are not high. The much more rapid loss of the voiced palatal nasal /ɲ/ and the consequent raising of the vowels are plausibly attributed to rapid speech, especially in construction and some sociolinguistic factors.

  17. The dynamics of multimodal integration: The averaging diffusion model.

    Science.gov (United States)

    Turner, Brandon M; Gao, Juan; Koenig, Scott; Palfy, Dylan; L McClelland, James

    2017-03-08

    We combine extant theories of evidence accumulation and multi-modal integration to develop an integrated framework for modeling multimodal integration as a process that unfolds in real time. Many studies have formulated sensory processing as a dynamic process where noisy samples of evidence are accumulated until a decision is made. However, these studies are often limited to a single sensory modality. Studies of multimodal stimulus integration have focused on how best to combine different sources of information to elicit a judgment. These studies are often limited to a single time point, typically after the integration process has occurred. We address these limitations by combining the two approaches. Experimentally, we present data that allow us to study the time course of evidence accumulation within each of the visual and auditory domains as well as in a bimodal condition. Theoretically, we develop a new Averaging Diffusion Model in which the decision variable is the mean rather than the sum of evidence samples and use it as a base for comparing three alternative models of multimodal integration, allowing us to assess the optimality of this integration. The outcome reveals rich individual differences in multimodal integration: while some subjects' data are consistent with adaptive optimal integration, reweighting sources of evidence as their relative reliability changes during evidence integration, others exhibit patterns inconsistent with optimality.

  18. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme

    DEFF Research Database (Denmark)

    Kehlet, H; Mogensen, T

    1999-01-01

    BACKGROUND: Hospital stay after colonic surgery is usually between 5 and 10 days, limiting factors being pain, ileus, organ dysfunction and fatigue. Single-modality intervention to reduce these factors with laparoscopic surgery usually requires a hospital stay of 5 days. This paper reports...... of follow-up, except for two patients who suffered postspinal headache. CONCLUSION: Postoperative recovery after open colonic surgery may be accelerated by effective pain relief integrated into an accelerated rehabilitation programme....... the results of a multimodal rehabilitation regimen after open sigmoidectomy. METHODS: Sixteen unselected patients scheduled for elective sigmoid resection (median age 71 years) underwent operation under combined spinal-epidural anaesthesia. After operation, epidural analgesia was continued for 48 h...

  19. Assessing the support provided by a toolkit for rapid prototyping of multimodal systems

    OpenAIRE

    CUENCA LUCERO, Fredy; Vanacken, Davy; Coninx, Karin; Luyten, Kris

    2013-01-01

    Choosing an appropriate toolkit for creating a multimodal interface is a cumbersome task. Several specialized toolkits include fusion and fission engines that allow developers to combine and decompose modalities to capture multimodal input and provide multimodal output. Unfortunately, the extent to which these toolkits can facilitate the creation of a multimodal interface is hard or impossible to estimate, due to the absence of a scale where the toolkit's capabilities can be measured on. In t...

  20. [Multimodal pain therapy - implementation of process management - an attempt to consider management approaches].

    Science.gov (United States)

    Dunkel, Marion; Kramp, Melanie

    2012-07-01

    The combination of medical and economical proceedings allows new perspectives in the illustration of medical workflows. Considering structural and developmental aspects multimodal therapy programs show similarities with typical subjects of economic process systems. By pointing out the strategic appearance of the multimodal pain therapy concept multimodal approaches can be described to some extent by using management approaches. E. g., an economic process landscape can be used to represent procedures of a multimodal pain therapy program.