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Biomechanical risk in fatiguing frequency-dependent lifting activities: muscle coactivation in people with and without low back pain 疲劳频率依赖的举重活动的生物力学风险:有和没有腰痛的人的肌肉协同激活
Pub Date : 2021-11-05 DOI: 10.36017/jahc2111-003
Varrecchia Tiwana, Chini Giorgia, Conforto Silvia, Falla Deborah, De Nunzio Alessandro Marco, Draicchio Francesco, Serrao Mariano, Tatarelli Antonella, Fiori Lorenzo, Ranavolo Alberto
Musculoskeletal diseases and disorders from biomechanical overload are very common among workers. In Italy in 2019, occupational diseases of the osteomuscular system and connective tissue accounted for 66% of the total number of diseases reported to INAIL. Many factors can contribute to the establishment of a condition of biomechanical overload and therefore to the onset of work-related musculoskeletal disorders (WMSDs). Among these, work-related low-back disorders (WLBDs), caused mainly by handling heavy loads, are very common. In recent years, several methods have been developed to assess the risk of biomechanical overload, included in several international standards (ISO-11228, ISO-11226, ISO/TR 12295 and 12296) aimed at identifying high-risk work activities and assessing the effectiveness of ergonomic interventions. Among the best known, with regard to the manual lifting of heavy loads, there is the Revised NIOSH Lifting Equation that, while presenting many advantages (cost-effectiveness, non-invasiveness, speed of application ...) at the same time also has limitations concerning mainly the high subjectivity (subject of scientific debate) and the impossibility of these methods to assess all work tasks.From these premises, it is clear the usefulness of being able to use new quantitative risk assessment methodologies, objectifiable and repeatable, which provide for the possibility of assessing the risk from biomechanical overload even in modern working scenarios where the use of exoskeletons by workers and the sharing of working space with cobots is becoming increasingly widespread. In fact, the methods currently used are incomplete and ineffective in assessing the real impact that these technologies have on the health and safety of workers in Industry 4.0.Recent studies (some of which we were involved in) have introduced the possibilities offered by optoelectronic systems, inertial sensors (IMUs) and surface electromyography (sEMG), to integrate the most widely used observational methodologies. These modern technologies, evaluating how a subject moves his joints and uses his muscles during the execution of a work task, can integrate the observational methods, quantify the elements that characterize the risk minimizing the evaluation errors caused by individual subjectivity and allow to carry out the assessment of biomechanical risk even in those areas where the currently most widespread methodologies are not able to give exhaustive answers. In particular, the innovative methodologies based on IMUs and sEMG, allow the instrumental quantitative assessment of biomechanical risk directly in the field thanks to the fact that the sensors are miniaturized, wearable, easily transportable and based on "wireless" transmission of data acquired on the worker who performs the task. These aspects facilitate data recording, allowing accurate signal acquisition even in unfavorable environments and in work situations where the worker interacts with a cobot
肌肉骨骼疾病和生物力学负荷失调在工人中很常见。在意大利,2019年骨骼肌系统和结缔组织职业病占向INAIL报告的疾病总数的66%。许多因素都可能导致生物力学超载,从而导致与工作相关的肌肉骨骼疾病(WMSDs)的发生。其中,与工作相关的腰背部疾病(wlbd)是非常常见的,主要是由处理重物引起的。近年来,已经开发了几种评估生物力学超载风险的方法,包括在几个国际标准(ISO-11228, ISO-11226, ISO/TR 12295和12296)中,旨在识别高风险工作活动并评估人体工程学干预措施的有效性。其中最著名的是,关于重载荷的手动起重,有修订的NIOSH起重方程,它虽然具有许多优点(成本效益,非侵入性,应用速度…),但同时也有局限性,主要涉及高度主观性(科学辩论的主题)和这些方法不可能评估所有工作任务。从这些前提来看,很明显,能够使用新的定量风险评估方法的有用性,可客观化和可重复,即使在工人使用外骨骼和与协作机器人共享工作空间的现代工作场景中,也可以评估生物力学过载的风险。事实上,目前使用的方法在评估这些技术对工业4.0工人健康和安全的实际影响方面是不完整和无效的。最近的研究(其中一些我们参与)已经引入了光电系统,惯性传感器(imu)和表面肌电图(sEMG)提供的可能性,以整合最广泛使用的观察方法。这些现代技术,评估一个对象在执行工作任务时如何运动他的关节和使用他的肌肉,可以整合观察方法,量化表征风险的元素,最大限度地减少由个人主观性引起的评估错误,并允许在那些目前最广泛的方法无法给出详尽答案的领域进行生物力学风险评估。特别是,基于imu和sEMG的创新方法,可以直接在现场对生物力学风险进行仪器定量评估,这要归功于传感器的小型化,可穿戴,易于运输,并且基于执行任务的工作人员获取的数据的“无线”传输。这些方面有助于数据记录,即使在不利的环境和工作人员与协作机器人交互或使用外骨骼的工作情况下,也可以实现准确的信号采集。先前的研究涉及非疲劳举重的研究,研究了单次重复举重的运动和相对风险。目前,我们想知道当工作活动变得疲劳时会发生什么,以及是否仍然有可能使用这些方法对风险进行分类。此外,另一个未探讨的问题涉及在肌肉骨骼疾病发病的第一阶段继续从事工作活动的工人的存在:这些工人所面临的风险是否可以被认为与没有疼痛的工人所面临的风险相同?为了回答这些问题,我们在伯明翰大学与罗马第三大学和INAIL合作进行了一项实验活动,其中有和没有背部疾病的受试者在三种不同的举重频率确定的三种风险水平下进行了15分钟的疲劳举重。我们根据躯干屈肌和伸肌的肌肉协同激活来研究躯干肌肉活动。结果表明,通过区分风险水平和背部疾病的存在与否,共激活可以对手动负荷举重活动中的风险进行分类。这些结果表明,使用肌电图特征来评估与工作活动相关的生物力学风险,也可以用于存在疲劳举起的情况下,也可以用于区分背部疼痛受试者的风险。这种方法可用于监测疲劳,并扩大目前可用的基于仪器的方法所提供的可能性。
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引用次数: 0
Fields of application and safe management of nuclear magnetic resonance spectroscopy in biomedicine for non-medical purposes 核磁共振波谱在非医学生物医学中的应用领域及安全管理
Pub Date : 2021-10-22 DOI: 10.36017/jahc2110-002
Iacono Maria, Trinchese Ciro, Colombo Giovanni, Iacono Chiara, Ruggiero Roberto
Nuclear magnetic resonance (NMR) spectroscopy has assumed a leading position among the instrumental methods used in the analysis and characterization of organic and non-organic molecules, in addition to the application of 13C and 1H high-resolution Fourier transform techniques for structural analysis of lipid components, peptides and proteins and carbohydrates. Thanks to the increasingly higher magnetic fields of the spectrometers, there has been a significant increase in resolution which has allowed us to move on to larger molecules and increasingly sophisticated techniques. Today multidimensional spectra such as the correlation spectra between 13C, 1H and 15N are routine analysis whose most common acronyms are FOCSY, NOESY and TROSY. Most of these experiments are based on the NOE (Nuclear Overhauser Effect) phenomenon which provides information on the dipolar interaction between magnetic nuclei. We will also deal with the various types of installations in relation to the safety standards that these equipment require for correct use.
除13C和1H高分辨率傅立叶变换技术应用于脂质成分、多肽、蛋白质和碳水化合物的结构分析外,核磁共振(NMR)波谱学在有机和非有机分子分析和表征的仪器方法中处于领先地位。由于光谱仪的磁场越来越强,分辨率有了显著的提高,这使我们能够继续研究更大的分子和越来越复杂的技术。目前,13C, 1H和15N之间的相关光谱等多维光谱是常规分析,其最常见的缩写是FOCSY, nosy和TROSY。这些实验大多是基于NOE(核Overhauser效应)现象,它提供了磁性原子核之间偶极相互作用的信息。我们还将处理与这些设备正确使用所需的安全标准相关的各种类型的安装。
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引用次数: 0
The assessment of emotional competence in neurodevelopmental disorders through TEC I 用TEC评价神经发育障碍患者的情绪能力
Pub Date : 2021-10-12 DOI: 10.36017/jahc2110-001
Martino Federica, Cerroni Francesco, Della Corte Giuseppina, Carotenuto Marco, Nocerino Ludovica Cira, Piperno Catiuscia
In the field of neurodevelopmental disorders, the use of a standardized assessment test - TEC I - has proven the complex emotional variability of each individual validating and expanding the theoretical psycho-affective assumptions (drawn from direct observation of subjects with typical development) in children belonging to different nosographic categories.The data obtained through singular and comparative analysis of the subjects not only promote new insights into the influence of the emotional sphere in the construction of personality and learning of typical and atypical growing children, but suggest the emergence of new rehabilitation procedures and therapeutic objectives to be achieved and undertaken
在神经发育障碍领域,标准化评估测试TEC I的使用证明了每个个体复杂的情绪变异性,验证并扩展了理论心理-情感假设(来自对典型发展受试者的直接观察),适用于属于不同医院分类的儿童。通过对主题进行单一和比较分析获得的数据不仅促进了对典型和非典型成长儿童人格建设和学习中情感领域影响的新见解,而且建议出现新的康复程序和需要实现和实施的治疗目标
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引用次数: 1
Neuroimaging of intracranial stenosis 颅内狭窄的神经影像学
Pub Date : 2021-09-28 DOI: 10.36017/jahc2109-003
Coda Marco, A. Daniele, Esposito Ilaria, Romano Daniele Giuseppe
Cerebral hyperperfusion syndrome is a potential complication after intracranial angioplasty or stenting and ASL imaging could be used to predict and diagnose hyperperfusion syndrome and contribute to reduce its complications, making it possible to better manage patients undergoing endovascular treatment.
脑高灌注综合征是颅内血管成形术或支架植入术后的潜在并发症,ASL成像可用于预测和诊断高灌注综合征,减少其并发症,从而更好地管理接受血管内治疗的患者。
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引用次数: 0
Fonoaudiologia, Motricidade Orofacial, Fonoaudiologia Estética, rejuvenescimento facial 言语治疗,口面运动,美容言语治疗,面部年轻化
Pub Date : 2021-09-20 DOI: 10.36017/jahc2109-002
Ribeiro Lepri Juliana
A Fonoaudiologia tem colaborado para a estética facial na medida em que modifica posturas , recondiciona os músculos , redefine contornos e reprograma as funções orofaciais, favorecendo o equilíbrio necessário aliando saúde e bem estar em um mesmo contexto. De resultados obtém-se, uma face mais harmoniosa sem perder as suas características individuais . É uma alternativa natural e não invasiva para atenuar os problemas estéticos, buscando o equilíbrio da musculatura da face das funções vitais do organismo (respiração, sucção, mastigação, deglutição) e sociais (fonação e articulação), que são de extrema importância para a manutenção de todo o equilíbrio físico-biológico do ser humano. À luz da Fonoaudiologia, serão discutidos os fundamentos de base da Motricidade Orofacial que justificam e permeiam a Fonoaudiologia Estética como uma possibilidade de intervenção voltada aos aspectos estéticos da face.
语言治疗学通过改变姿势、重建肌肉、重新定义轮廓和重新规划口面功能,促进必要的平衡,将健康和幸福结合在同一背景下,对面部美学做出了贡献。结果是一个更和谐的脸,而不失去它的个人特征。是缓解这些问题的另一种非自然的审美,脸部的肌肉的平衡的重要功能(呼吸,吸入身体,咀嚼、吞咽)和社会(发音和发音),都是非常重要的维持身体平衡来自人类。从言语治疗的角度,我们将讨论口腔面部运动的基本基础,以证明和渗透美学言语治疗作为一种干预面部美学方面的可能性。
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引用次数: 0
Health Advocacy and Psycho-body empowerment: An effective Salutogenic Model to fight Burnout syndrome addressed to Health Managers, Health and Social Workers 健康倡导和身心赋权:一个有效的健康模型,以对抗倦怠综合症致健康管理人员,健康和社会工作者
Pub Date : 2021-09-07 DOI: 10.36017/jahc2109-001
Verdoliva Ciro, Corvino Maria, Ciarfera Michele, Diamare Sara, Papa Marco, Auriemma Giuseppe, Costagliola Emilio, Chiaro Mariarosaria, D'Anna Emilia, Glorioso Arianna, G. Malvina
This study was carried out with the implementation of the ECM Training Course: "Health advocacy and Psycho-corporeal Empowerment 2020", designed by the U.O.C. Quality & Humanisation to fight the burnout of health workers during the pandemic through the strategic use of the “Salotti del Benessere©” method in its online version. This Medical Humanities methodology allows the acquisition of psycho-body awareness in order to encourage, even in emergency situations, the adoption of healthy lifestyles. The whole process takes place in 7 meetings, in which the exploration of the 5 Keys to Well-being (Conscious Breathing, Relaxation, Empowerment, Movement and Emotion) is carried out, supported by a multidisciplinary team. In order to assess the effectiveness of the training course, a battery of tests has been administered. The following research is a pilot study on the method in its online version, with the aim of verifying if it was possible to implement, despite the physical distance, a path of psycho-body empowerment and improvement of interpersonal relationships, in this case among the mental health workers participating to the course. An analysis of the results obtained from the tests shows that this online course led to the acquisition of greater self-awareness for health workers and strengthened those relational aspects that, among other things, encourage the mental health management of the patient/caregiver. These results justify the spread of the course to a wider target.
这项研究是在实施ECM培训课程:"健康宣传和身心赋权2020"的同时进行的,该课程由U.O.C.质量与人性化部设计,旨在通过在其在线版本中战略性地使用" Salotti del Benessere©"方法,解决大流行病期间卫生工作者的倦怠问题。这种医学人文方法使人们能够获得对身心的认识,以便即使在紧急情况下也能鼓励人们采取健康的生活方式。整个过程在7次会议中进行,在多学科团队的支持下,对健康的5个关键(有意识的呼吸,放松,授权,运动和情感)进行探索。为了评估培训课程的效果,进行了一系列测试。以下研究是对该方法在线版本的试点研究,目的是验证是否有可能在物理距离之外实施身心赋权和改善人际关系的途径,在这种情况下是在参加课程的精神卫生工作者之间。对测试结果的分析表明,这一在线课程使卫生工作者获得了更大的自我意识,并加强了那些关系方面,除其他外,鼓励对病人/照顾者进行心理健康管理。这些结果证明将课程推广到更广泛的目标是合理的。
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引用次数: 0
Attività professionalizzanti nei corsi di Laurea in Educazione Professionale – SNT-2. Studio trasversale delle 14 esperienze universitarie italiane di Medicina e Chirurgia per la formazione dell’Educatore Professionale 职业教育学位课程的专业活动- SNT-2。意大利大学在职业教育培训方面的14项医学和外科经验的交叉研究
Pub Date : 2021-08-02 DOI: 10.36017/jahc2108-001
Crisafulli Francesco
Lo studio svolge un’analisi trasversale dell’offertaformativa, delle attività professionalizzanti e di alcuni indicatori di andamento, dei 17 Corsi di Laurea per Educatore Professionale Snt-2, attivi in 14 atenei in Italia. Le proposte didattiche del settore scientifico disciplinare di riferimento MED/48 e le esperienze del tirocinio curriculare, sono esaminate in forma comparata tra i corsi con l’obiettivo di verificarne la coerenza con i problemi prioritari socio sanitari, le funzioni e attività delle “Core competence” della professione. Peculiarità, punti di forza e alcune criticità sono evidenziati nello studio relativamente alla situazione complessiva della figura professionale.I Corsi di Laurea fanno registrare un buon andamento di alcuni indicatori strategici come l’occupabilità dei laureati e la coerenza con le “Core Competence” dell’EP, nel ventesimo anno accademico di istituzione del corso sanitario in ambito accademico.
该研究对意大利14所大学的职业教育工作者Snt-2的17个学位课程提供的培训、职业活动和一些绩效指标进行了交叉分析。医学/48科学学科的教学建议和在职经验以比较的方式审查这些课程,以确定它们是否符合社会卫生优先事项、职业“核心能力”的职能和活动。在对职业概况的总体情况的研究中,强调了具体的特点、优势和关键因素。学位课程在一些战略指标上表现良好,如毕业生的就业能力和与环境规划署“核心能力”的一致性
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引用次数: 0
Viscero-somatic integration: new therapeutic proposals through integrated thermal cures (CIT) 脏体合一:综合热疗(CIT)的新治疗建议
Pub Date : 2021-07-31 DOI: 10.36017/jahc2107-003
Barassi Giovanni, Irace Giuseppe, Di Iulio Antonella, Di Stefano Giuseppe, Di Simone Edoardo, Mariani Chiara, Supplizi Marco, D. Angelo
Traditional thermal medicine, gold standard for some pathologies, focuses its therapeutic target mainly on a sectorial level, focusing only on the pathological symptom and neglecting man as a whole.The importance of the whole, of the phenomena of systemic, viscero-somatic and somato-visceral interrelation, has led to the creation of a new approach called "CTI" - Integrated Thermal Care, which uses all the thermal therapies, integrated and administered according to the individual needs to enhance their therapeutic effect.235 subjects have received, on average, 40 treatments within about a year. They were treated with hydropinic treatment, inhalation treatments, hydrokinesitherapy, vascular pathways, mud therapy and manual neuromuscular therapy associated with the previous treatments.The results obtained in all the FIM, VAS, TINETTI, EUROQOL scales are positive and statistically significant, which suggests that a modification of the treatment protocols, which provides for a unique and integrated stimulation, is the new objective of thermal medicine for serious disabilities.
传统热医学是治疗某些疾病的金标准,但其治疗目标主要集中在部门层面,只关注病理症状,而忽视了人的整体。整体的重要性,系统,内脏-躯体和躯体-内脏相互关系的现象,导致了一种称为“CTI”的新方法的创造-综合热护理,它使用所有的热疗法,根据个人需要综合和管理,以提高他们的治疗效果。在大约一年内,235名受试者平均接受了40次治疗。他们分别接受水平疗法、吸入疗法、水动力疗法、血管通路疗法、泥浆疗法和与先前治疗相关的手动神经肌肉疗法。FIM、VAS、TINETTI、EUROQOL量表均为阳性且具有统计学意义,提示改进治疗方案,提供独特的综合刺激,是热疗治疗严重残疾的新目标。
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引用次数: 0
Comparative study of different Gd-EOB-DTPA flows as a solution of the Gibbs Arterial Phase artifact in liver MRI 不同Gd-EOB-DTPA血流作为肝脏MRI吉布斯动脉相伪影解决方案的比较研究
Pub Date : 2021-07-31 DOI: 10.36017/jahc2107-004
Curatolo Calogero, Santoro Vincenzo
The purpose of this study was to compare three different injection rates to improve the quality of the arterial phase images in the MRI imaging of the liver with Gadoxetico Acid (Gd-EOB-DTPA) and, in particular, how these affect and/or mitigate Gibbs artifact.
本研究的目的是比较三种不同的注射率,以提高加多西提酸(Gd-EOB-DTPA)在肝脏MRI成像中动脉期图像的质量,特别是这些注射率如何影响和/或减轻吉布斯伪影。
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引用次数: 0
Motor intervention and autism: one way, several domains of effectiveness 运动干预和自闭症:一种方式,几个有效的领域
Pub Date : 2021-07-31 DOI: 10.36017/jahc2107-007
Flori Valeria, Á. Bruno
In the literature, a delay in the development and acquisition of motor skills is generally described in children with autism spectrum disorder, affecting between 50% and 80% of this population. In spite of this high frequency of occurrence, motor difficulties are not yet considered in the same way as the core deficits of this disorder (difficulties in social interaction, communication and behavior); addictionaly, there is not yet enough research about the efficacy of a specific intervention that can support the development of motor functions compromised in autism.Recent findings, which support the correlation between motor domain and other areas of development (social and cognitive), together with other evidence that underline the benefits of practicing motor activities on the individual's well-being, lead us to re-evaluate the effects of motor intervention for autism.To define the salient points of this kind of intervention, with particular attention to rehabilitation practice, a literature search was carried out on four different databases, which sifted through 602 bibliographic citations and found 10 studies that were able to meet the set research purposes.This review showed that physical activity in autistic children not only improves motor performance, but also plays an important role in the social, cognitive and behavioural development, as well as helping to reduce some secondary or associated symptoms, such as stereotypies or sleep disorders.
在文献中,自闭症谱系障碍儿童在发展和获得运动技能方面的延迟通常被描述为自闭症谱系障碍儿童,影响了50%到80%的人群。尽管发生频率很高,但运动困难尚未被视为该障碍的核心缺陷(社交、沟通和行为方面的困难);此外,目前还没有足够的研究表明,一种特定的干预措施能够支持自闭症患者运动功能受损的发展。最近的研究结果支持运动领域与其他发展领域(社会和认知)之间的相关性,以及其他强调练习运动活动对个体福祉有益的证据,使我们重新评估运动干预对自闭症的影响。为了明确这类干预的重点,特别是对康复实践的关注,我们在四个不同的数据库中进行了文献检索,筛选了602个书目引用,发现了10项能够满足既定研究目的的研究。这篇综述表明,自闭症儿童的体育活动不仅可以改善运动表现,而且在社交、认知和行为发展中起着重要作用,并有助于减少一些继发性或相关症状,如刻板印象或睡眠障碍。
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引用次数: 0
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Journal of Advanced Health Care
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