RESUMEN
The Skyrme model has two Skyrmion solutions of baryon number 12, with D_{3h} and D_{4h} symmetries. The first has an equilateral triangular shape and the second an extended linear shape, analogous to the triangle and linear chain structures of three alpha particles. We recalculate the moments of inertia of these Skyrmions, and deduce the energies and spins of their quantized rotational excitations. There is a good match with the ground-state band of carbon-12, and with the recently established rotational band of the Hoyle state. The ratio of the root mean square matter radii also matches the experimental value.
RESUMEN
INTRODUCTION: Degenerative cervical spine diseases are common, and physiotherapy is widely used as an initial form of treatment. We aimed to analyse the effects of the initial sessions of physiotherapy for patients who were newly diagnosed with degenerative cervical spine disorders. METHODS: A prospective series of 30 patients with newly diagnosed degenerative cervical spine disease were referred to our department and followed up for the initial two sessions of physiotherapy. The patients were assessed after each session. Outcome parameters studied included pain using a visual analogue scale (VAS), neck range of movements and activities of daily living (ADL). RESULTS: Our study subjects comprised mainly females (60%) in their fifties (46.7%) who worked as clerks or secretaries (53.3%). There was an improvement in the patients' pain score (VAS) from a median of 8 to 4 after two visits to the physiotherapists. Slight improvement in the neck range of movements was also observed. Marked improvement was seen in ADL, especially in the ability to carry heavy objects. CONCLUSION: Physiotherapy is an effective initial option for patients with newly presented degenerative cervical spine disease. The results of this study can be used to advise patients on the short-term benefits of physiotherapy.
Asunto(s)
Vértebras Cervicales/fisiopatología , Dolor de Cuello/rehabilitación , Modalidades de Fisioterapia , Rango del Movimiento Articular/fisiología , Enfermedades de la Columna Vertebral/rehabilitación , Adulto , Anciano , Distribución de Chi-Cuadrado , Estudios de Cohortes , Diagnóstico Precoz , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Osteoartritis/diagnóstico , Osteoartritis/rehabilitación , Dimensión del Dolor , Satisfacción del Paciente , Estudios Prospectivos , Enfermedades de la Columna Vertebral/diagnóstico , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
OBJECTIVES: To study children with cerebral palsy in Hong Kong, their neuroimpairment, activity limitation, and participation restriction in society. Parents' opinion on current medical and rehabilitation services was also sought. DESIGN: Systematic survey using questionnaires. SETTING: Four associations in Hong Kong: Child Assessment Service, Hong Kong Association for Parents of Children with Physical Disabilities, Association of Parents of the Severely Mentally Handicapped, and Hong Kong Physically Handicapped and Able-Bodied Association. PARTICIPANTS: Parents of children with cerebral palsy. MAIN OUTCOME MEASURES: Neuroimpairment, activity limitation, and participation restriction. RESULTS: Information from 181 children with cerebral palsy was analysed. Among them, 56% were boys. The mean age was 7 years 6 months (standard deviation, 3 years 11 months). The most common diagnostic type was spastic cerebral palsy. Co-morbidities in children with cerebral palsy were common. Limitation in daily activities including mobility and self-care tasks was considerable and this posed great stress to parents when taking care of their children. Children's participation in both social and leisure activities was regarded as a low priority. A high percentage (70%) of parents reported difficulty in travelling. The reasons involved problems in transportation, building access (entry and exit), and attitudes of the general public. These environmental factors restricted the social participation of the children and their families. Over 75% of parents were satisfied with the current medical and rehabilitation services. CONCLUSIONS: Children with cerebral palsy have multiple and complex needs. The findings of this study may serve as a reference for parents, service providers, and policy makers to work in partnership to achieve a more comprehensive health-care service for children with cerebral palsy and to facilitate better integration into the community.
Asunto(s)
Actividades Cotidianas , Parálisis Cerebral/fisiopatología , Niños con Discapacidad/estadística & datos numéricos , Adolescente , Adulto , Parálisis Cerebral/epidemiología , Niño , Preescolar , Femenino , Hong Kong/epidemiología , Humanos , Lactante , Masculino , Actividad Motora , Encuestas y CuestionariosRESUMEN
Fluoroscopically guided percutaneous gastrostomy tube placement is an uncommon but well-established interventional procedure. We present our experience of this procedure in a series of 23 patients, concentrating on the methodology, technique and pitfalls.