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34 results on '"Enrique Varela"'

2. El Efecto Placebo en el Tratamiento del Dolor Musculoesquelético Cervical: un Ensayo Clínico Aleatorizado

Author

Guillermo Ceniza-Bordallo, Héctor González-Ordi, and Enrique Varela-Donoso

Subjects
Placebo effect, Musculoskeletal neck pain, Kinesio Taping, Expectations, Suggestion, Psychology, BF1-990
Abstract

Se ha estudiado el efecto placebo en el dolor musculoesquelético cervical ampliamente. Se deriva del contexto de la intervención y es común a todas ellas. Las últimas investigaciones apuntan a que Kinesio Taping podría ser una forma de efecto placebo. A través del presente estudio se prende analizar si el Kinesio Taping es una forma de efecto placebo en sujetos con dolor musculoesquelético cervical. Se comparó el efecto del Kinesio Taping con el de un placebo. Tras analizar 30 sujetos, los resultados muestran que el efecto clínico del Kinesio Taping es similar al de un placebo. Las expectativas, el condicionamiento o la sugestión pueden estar muy relacionadas con el efecto clínico en los pacientes.

Published
2019
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3. Pre- and Perinatal Risk Factors for Youth with Autism Spectrum Disorder versus Youth with Other Mental Health Disorders

Author

R. Enrique Varela, Emily Vinet, Jodi Kamps, and Laura Niditch

Abstract

Research has linked pre- and perinatal complications (PPCs) with increased risk for autism spectrum disorder (ASD). However, PPCs are also known risk factors for other mental health disorders. This study explored which PPCs are specific risk factors for ASD, as opposed to other forms of psychopathology, among a large sample of clinically-referred youth. Archival data were used from 1177 youth who were evaluated at a hospital-based autism clinic. Results from logistic regressions indicated that use of tobacco, alcohol, or drugs, or experiencing amniocentesis predicted inclusion in the non-ASD group, while physical difficulties with delivery predicted inclusion in the ASD group. Possible explanations and implications for these findings are discussed.

Published
2024
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4. Overcoming challenges to integration of oral health into geriatric primary care

Author

Alberto Enrique Varela, Donna Baluchi, Timothy W. Farrell, and José E. Rodríguez

Subjects
geriatrics, oral, systemic, interprofessional, collaboration, periodontal disease, Other systems of medicine, RZ201-999
Abstract

The Age-Friendly Health System movement has been a unifying factor in caring for older adults at the University of Utah Health. Despite progress, challenges to efficient healthcare collaboration exist, particularly between geriatric primary care and oral health. This manuscript presents four of those challenges (lack of communication between medical and dental providers, the distance between medical and dental services, patient discomfort with the inclusion of oral health in primary health care, and provider discomfort in requesting oral health information in medical encounters) with the solutions derived at the University of Utah Health. Leaders at University of Utah Health developed five interventions to address these challenges (participation in the development of EPIC Wisdom©, a fully integrated oral health record in the electronic health record (EHR), co-location in new centers and oral health consultation in existing centers, implementing a geriatric health assessment that included oral health, widespread adoption of the 4 Ms framework). Applying the lessons learned from these challenges can benefit all older adults and may help prevent the conditions associated with periodontal disease.

Published
2025
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6. Educational Needs in Neurological Rehabilitation – 'Brain4Train' Survey Outcomes from European Countries

Author

Bartnicka, Joanna, Herrera, Cristina, Portilla, Raquel, Zietkiewicz, Agnieszka, Mleczko, Katarzyna, Pavan, Esteban, Donoso, Enrique Varela, Garrido, David, Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Nazir, Salman, editor, Teperi, Anna-Maria, editor, and Polak-Sopińska, Aleksandra, editor

Published
2019
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11. Probing hadronic interactions using the latest data measured by the Pierre Auger Observatory

Author

Caterina Trimarelli, Pedro Abreu, Marco Aglietta, Ingomar Allekotte, Kévin Almeida Cheminant, Alejandro Almela, Jaime Alvarez-Muniz, Juan Ammerman Yebra, Gioacchino Alex Anastasi, Luis A. Anchordoqui, Belén Andrada, Sofia Andringa, Carla Aramo, Paulo Ricardo Araújo Ferreira, Enrico Arnone, Juan Carlos Arteaga Velazquez, Hernán Gonzalo Asorey, Pedro Assis, Gualberto Avila, Emanuele Avocone, Alina Mihaela Badescu, Alena Bakalova, Alexandru Balaceanu, Felicia Barbato, Jose A. Bellido, Corinne Berat, Mario Edoardo Bertaina, Gopal Bhatta, Peter L. Biermann, Virginia Binet, Kathrin Bismark, Teresa Bister, Jonathan Biteau, Jiri Blazek, Carla Bleve, Johannes Blümer, Martina Bohacova, Denise Boncioli, Carla Bonifazi, Luan Bonneau Arbeletche, Nataliia Borodai, Jeffrey Brack, Thomas Bretz, P. Gabriel Brichetto Orchera, Florian Lukas Briechle, Peter Buchholz, Antonio Bueno, Stijn Buitink, Mario Buscemi, Max Büsken, Anthony Bwembya, Karen S. Caballero-Mora, Lorenzo Caccianiga, Ioana Caracas, Rossella Caruso, Antonella Castellina, Fernando Catalani, Gabriella Cataldi, Lorenzo Cazon, Marcos Cerda, Jose Augusto Chinellato, Jiří Chudoba, Ladislav Chytka, Roger W Clay, Agustín Cobos Cerutti, Roberta Colalillo, Alan Coleman, Maria Rita Coluccia, Rúben Conceição, Antonio Condorelli, Giovanni Consolati, Fernando Contreras, Fabio Convenga, Diego Correia dos Santos, Corbin Covault, Markus Cristinziani, Sergio Dasso, Kai Daumiller, Bruce R. Dawson, Jarryd A. Day, Rogerio M. de Almeida, Joaquin de Jesus, Sijbrand J. de Jong, João de Mello Neto, Ivan De Mitri, Jaime de Oliveira, Danelise de Oliveira Franco, Francesco de Palma, Vitor de Souza, Emanuele De Vito, Antonino Del Popolo, Olivier Deligny, Luca Deval, Armando di Matteo, Madalina Dobre, Carola Dobrigkeit, Juan Carlos D'Olivo, Luis Miguel Domingues Mendes, Rita Cassia dos Anjos, Maria Teresa Dova, Jan Ebr, Mohamed Eman, Ralph Engel, Italo Epicoco, Martin Erdmann, Carlos O. Escobar, Alberto Etchegoyen, Heino Falcke, John Farmer, Glennys R. Farrar, Anderson Campos Fauth, Norberto Fazzini, Fridtjof Feldbusch, Francesco Fenu, Brian Fick, Juan Manuel Figueira, Andrej Filipcic, Thomas Fitoussi, Tomáš Fodran, Toshihiro Fujii, Alan Fuster, Cristina Galea, Claudio Galelli, Beatriz García, Hartmut Gemmeke, Flavia Gesualdi, Alexandru Gherghel-Lascu, Piera Luisa Ghia, Ugo GIACCARI, Marco Giammarchi, Jonas Glombitza, Fabian Gobbi, Fernando Gollan, Geraldina Golup, Mariano Gómez Berisso, Primo F. Gómez Vitale, Juan Pablo Gongora, Juan Manuel González, Nicolas Martin Gonzalez, Isabel Goos, Dariusz Gora, Alessio Gorgi, Marvin Gottowik, Trent D. Grubb, Fausto Guarino, Germano Guedes, Eleonora Guido, Steffen Traugott Hahn, Petr Hamal, Matías Rolf Hampel, Patricia María Hansen, Diego Harari, Violet M. Harvey, Andreas Haungs, Thomas Hebbeker, Dieter Heck, Carlos Hojvat, Jörg R. Hörandel, Pavel Horvath, Miroslav Hrabovsky, Tim Huege, Antonio Insolia, Paula Gina Isar, Petr Janecek, Jeffrey A. Johnsen, Jakub Jurysek, Alex Kääpä, Karl-Heinz Kampert, Bianca Keilhauer, Abha Khakurdikar, Varada Varma Kizakke Covilakam, Hans Klages, Matthias Kleifges, Jonny Kleinfeller, Felix Knapp, Norbert Kunka, Bruno L. Lago, Niklas Langner, Marcelo Augusto Leigui de Oliveira, Vladimir Lenok, Antoine Letessier-Selvon, Isabelle Lhenry-Yvon, Domenico Lo Presti, Luis LOPES, Rebeca López, Lu Lu, Quentin Luce, Jon Paul Lundquist, Allan Machado Payeras, Giovanni Mancarella, Dusan Mandat, Bradley C. Manning, Julien Manshanden, Paul Mantsch, Sullivan Marafico, Federico Maria Mariani, Analisa Mariazzi, Ioana Maris, Giovanni Marsella, Daniele Martello, Sara Martinelli, Oscar Martínez Bravo, Miguel Alexandre Martins, Massimo Mastrodicasa, Hermann-Josef Mathes, James Matthews, Giorgio Matthiae, Eric William Mayotte, Sonja Mayotte, Peter Mazur, Gustavo Medina-Tanco, Diego Melo, Alexander Menshikov, Stanislav Michal, Maria Isabel Micheletti, Lino Miramonti, Silvia Mollerach, François Montanet, Leonel Morejon, Carlo Morello, Ana L. Müller, Katharine Mulrey, Roberto Mussa, Marco Stein Muzio, Wilson M. Namasaka, Alina Nasr-Esfahani, Lukas Nellen, Gabriela Nicora, Mihai Niculescu-Oglinzanu, Marcus Niechciol, Dave Nitz, Ian Norwood, Dalibor Nosek, Vladimír Novotný, Libor Nozka, Achille Nucita, Luis A. Nunez, Cainã Oliveira, Miroslav Palatka, Juan Pallotta, Gonzalo Parente, Alejandra Parra, Jannis Pawlowsky, Miroslav Pech, Jan Pękala, Rodrigo Pelayo, Edyvania Emily Pereira Martins, Johnnier Perez Armand, Carmina Pérez Bertolli, Lorenzo Perrone, Sergio Petrera, Camilla Petrucci, Tanguy Pierog, Mário Pimenta, Manuel Platino, Bjarni Pont, Mart Pothast, Paolo Privitera, Michael Prouza, Andrew Puyleart, Sven Querchfeld, Julian Rautenberg, Diego Ravignani, Maximilian Reininghaus, Jan Ridky, Felix Riehn, Markus Risse, Vincenzo Rizi, Washington Rodrigues de Carvalho, Jorge Rubén Rodriguez Rojo, Matías J. Roncoroni, Simone Rossoni, Markus Roth, Esteban Roulet, Adrian Rovero, Philip Ruehl, Alexandra Saftoiu, Mohit Saharan, Francesco Salamida, Humberto Ibarguen Salazar, Gaetano Salina, Jose Sanabria Gomez, Federico Andrés Sánchez, Edivaldo Moura Santos, Eva Santos, Fred Sarazin, Raul Sarmento, Ricardo Sato, Pierpaolo Savina, Christoph M. Schäfer, Viviana Scherini, Harald Schieler, Martin Schimassek, Michael Schimp, Felix Schlüter, David Schmidt, Olaf Scholten, Harm Schoorlemmer, Petr Schovanek, Frank G. Schröder, Josina Schulte, Tobias Schulz, Sergio J Sciutto, Marina Scornavacche, Alberto Segreto, Srijan Sehgal, Shima Ujjani Shivashankara, Guenter Sigl, Gaia Silli, Octavian Sima, Raluca Smau, Radomir Smida, Paul Sommers, Jorge F. Soriano, Ruben Squartini, Maximilian Stadelmaier, Denis Stanca, Samo Stanič, Jaroslaw Stasielak, Patrick Stassi, Maximilian Straub, Alexander Streich, Mauricio Suárez-Durán, Tristan Sudholz, Tiina Suomijarvi, A. Daniel Supanitsky, Zbigniew Szadkowski, Alex Tapia, Carla Taricco, Charles Timmermans, Olena Tkachenko, Petr Tobiska, Carlos J. Todero Peixoto, Bernardo Tomé, Zoé Torrès, Andres Travaini, Petr Travnicek, Matias Jorge Tueros, Ralf Ulrich, Michael Unger, Lukáš Vaclavek, Martin Vacula, Jose F. Valdés Galicia, Laura Valore, Enrique Varela, Adriana Vásquez-Ramírez, Darko Veberic, Cynthia Ventura, Indira D. Vergara Quispe, Valerio Verzi, Jakub Vicha, Jacco Vink, Serguei Vorobiov, Hernan Wahlberg, Clara Keiko Oliveira Watanabe, Alan Watson, Andreas Weindl, Lawrence Wiencke, Henryk Wilczyński, David Wittkowski, Brian Wundheiler, Alexey Yushkov, Orazio Zapparrata, Enrique Zas, Danilo Zavrtanik, Marko Zavrtanik, and Lukas Zehrer

Published
2022
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12. A systematic review of experimental studies evaluating anti-racist program techniques for children and adolescents

Author

Carl Weems, Bethany H. McCurdy, Mikaela D. Scozzafava, Armando A. Pina, and R. Enrique Varela

Abstract

This systematic review synthetizes studies using experimental designs and evaluating techniques theorized to foster the development of anti-racism among youth in school settings (19 published reports; 23 independent studies; participant ages 3 to 19 years old, primarily White). Our goal herein was to identify unique program components, design elements, outcome measures; and to critically evaluate the extant studies in terms of potential public health impact. A number of specific programing elements were distilled that may be included in future interventions. Overall, interventions that leveraged cognitive and educational components to help increase positive outgroup contact seemed most promising. However, most of the studies testing such programs lacked methodological robustness (e.g., probable gaps in internal validity from the absence of intervention manuals or equivalent, fidelity checks, reliance on outcome measures with unknown psychometric properties, follow-up designs). Future research would benefit from establishing adherence to implementation (fidelity to protocol), including pre, post and follow-up assessments, as well as using outcome measures appropriate for determining both short-term and long-term change. There is a clear need for the funding of technique development, manualized programing for delivery, rigorous evaluation of these with standardized outcome measures, and adequately powered studies testing outcomes across development.

Published
2022
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13. The Parietal Lobe in Alzheimer's Disease and Blindness

Author

Mónica Alba Ahulló-Fuster, Tomás Ortiz, Enrique Varela-Donoso, Juan Nacher, and M. Luz Sánchez-Sánchez

Subjects
Psychiatry and Mental health, Clinical Psychology, Alzheimer Disease, General Neuroscience, Parietal Lobe, Humans, General Medicine, Geriatrics and Gerontology, Blindness, Magnetic Resonance Imaging, Temporal Lobe
Abstract

The progressive aging of the population will notably increase the burden of those diseases which leads to a disabling situation, such as Alzheimer’s disease (AD) and ophthalmological diseases that cause a visual impairment (VI). Eye diseases that cause a VI raise neuroplastic processes in the parietal lobe. Meanwhile, the aforementioned lobe suffers a severe decline throughout AD. From this perspective, diving deeper into the particularities of the parietal lobe is of paramount importance. In this article, we discuss the functions of the parietal lobe, review the parietal anatomical and pathophysiological peculiarities in AD, and also describe some of the changes in the parietal region that occur after VI. Although the alterations in the hippocampus and the temporal lobe have been well documented in AD, the alterations of the parietal lobe have been less thoroughly explored. Recent neuroimaging studies have revealed that some metabolic and perfusion impairments along with a reduction of the white and grey matter could take place in the parietal lobe during AD. Conversely, it has been speculated that blinding ocular diseases induce a remodeling of the parietal region which is observable through the improvement of the integration of multimodal stimuli and in the increase of the volume of this cortical region. Based on current findings concerning the parietal lobe in both pathologies, we hypothesize that the increased activity of the parietal lobe in people with VI may diminish the neurodegeneration of this brain region in those who are visually impaired by oculardiseases.

Published
2022

14. Age and Adaptive Functioning in Children and Adolescents with ASD: The Effects of Intellectual Functioning and ASD Symptom Severity

Author

Hill, Trenesha L., Gray, Sarah A. O., Kamps, Jodi L., and Enrique Varela, R.

Subjects
Care and treatment, Analysis, Research, Intelligence (Psychology) -- Analysis, Pervasive developmental disorders -- Care and treatment -- Research
Abstract

Author(s): Trenesha L. Hill[sup.1] , Sarah A. O. Gray[sup.1] , Jodi L. Kamps[sup.2] , R. Enrique Varela[sup.3] Author Affiliations: (1) Department of Psychology, Tulane University, 2007 Percival Stern Hall, 6400 [...], The present study examined the moderating effects of intellectual functioning and ASD symptom severity on the relation between age and adaptive functioning in 220 youth with autism spectrum disorder (ASD). Regression analysis indicated that intellectual functioning and ASD symptom severity moderated the relation between age and adaptive functioning. For younger children with lower intellectual functioning, higher ASD symptom severity was associated with better adaptive functioning than that of those with lower ASD symptom severity. Similarly, for older children with higher intellectual functioning, higher ASD symptom severity was associated with better adaptive functioning than that of those with lower ASD symptom severity. Analyses by subscales suggest that this pattern is driven by the Conceptual subscale. Clinical and research implications are discussed.

Published
2015
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16. Age Differences in Expression of Generalized and Social Anxiety Among Youth with Autism Spectrum Disorder

Author

Gabriella Pucci, Laura A. Niditch, Randolph DuPont, Carl F. Weems, R. Enrique Varela, Jodi L. Kamps, and Elliott A. Beaton

Subjects
Age differences, 05 social sciences, Social anxiety, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Borderline intellectual functioning, Expression (architecture), Autism spectrum disorder, Developmental and Educational Psychology, medicine, Autism, Anxiety, 0501 psychology and cognitive sciences, medicine.symptom, Differential expression, Psychology, 030217 neurology & neurosurgery, 050104 developmental & child psychology, Clinical psychology
Abstract

This study examined differences in generalized and social anxiety symptoms across two age groups of children with autism spectrum disorder (ASD) while accounting for overall anxiety level, gender, and intellectual functioning. Older children (12–18 years) expressed more overall and social anxiety symptoms than younger children (6–11 years), and social anxiety symptoms were predominant in the older group. Younger children expressed more generalized anxiety symptoms than the older youth, and there was a trend for generalized anxiety symptoms to be more dominant in the younger group. Findings are consistent with theory of differential expression of specific anxiety symptoms across different ages seen with typically developing children, yet social evaluative concerns may be even stronger for adolescents with ASD.

Published
2019
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17. Parental Psychological Control, Maladaptive Schemas, and Childhood Anxiety: Test of a Developmental Model

Author

C. Christiane Creveling-Benefield and R. Enrique Varela

Subjects
050103 clinical psychology, media_common.quotation_subject, education, 05 social sciences, Cognition, Developmental psychology, Maturity (psychological), Test (assessment), Psychological control, Developmental and Educational Psychology, medicine, Anxiety, 0501 psychology and cognitive sciences, Disconnection, medicine.symptom, Life-span and Life-course Studies, Association (psychology), Psychology, Autonomy, 050104 developmental & child psychology, media_common
Abstract

A large body of literature examines the relation between parental psychological control (PC) and children’s anxiety with some of this literature focusing on cognitive mechanisms that link these two constructs. To date, however, how PC and cognitive mechanisms may relate to anxiety at different ages in childhood is not well understood. This study tested a developmental model of the interrelations among PC, maladaptive schemas, and children’s anxiety. The model proposes that maladaptive schemas mediate the relation between PC and anxiety for younger children but moderate this relation for older (adolescent) children. 442 children (9–18 years old) completed measures of their anxiety, cognitive schemas reflecting impaired autonomy/performance and disconnection/rejection domains, and maternal and paternal PC. Results indicated that disconnection/rejection and impaired autonomy/performance maladaptive schemas mediate the association between perceived maternal and paternal PC and childhood anxiety for younger and older children. In contrast, these maladaptive schemas did not moderate the relation between parental PC and childhood anxiety for either younger or older children. The results do not support alternate models of anxiety development for younger and older youth that take into account PC and maladaptive schemas. Rather, PC is negatively and directly linked to children’s cognitions beyond a low sense of control independent of age and cognitive maturity, and in turn, these maladaptive schemas are associated to anxiety for the children.

Published
2019
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18. Evidence-based position paper on the professional practice of Physical and Rehabilitation Medicine for persons with cerebral palsy. The European PRM position (UEMS PRM section)

Author

Mauro Zampolini, Karol Hornacek, Ivana Marković, Fitnat Dinçer, Enrique Varela Donoso, A. Vetra, Jolanta Kujawa, N. Christodoulou, Carlotte Kiekens, Peter Takáč, Dejan Nikolic, Elena Ilieva, and Jiří Votava

Subjects
030506 rehabilitation, medicine.medical_specialty, Evidence-based practice, Delphi method, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, Community integration, Cerebral palsy, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, Medical diagnosis, business.industry, Cerebral Palsy, Rehabilitation, Professional Practice, 16. Peace & justice, medicine.disease, Physical and Rehabilitation Medicine, 3. Good health, Europe, Systematic review, Position paper, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract

Cerebral palsy (CP) is a group of the most common developmental disorders affecting movement and posture of the body, causing activity limitations and participation restrictions. The motor disorders of persons with CP are often accompanied by disturbances of sensation, cognition, communication and perception. The symptoms of CP are very diverse and persons with CP are usually presented with a mixed type of symptoms. The non-progressive disturbances can be attributed to disorders that were developed during pregnancy, birth and/or infant stage. The aim of this study was to improve physicians' professional practice of Physical and Rehabilitation Medicine for persons with cerebral palsy in order to improve their functionality, social and community integration, and to reduce activity limitations and/or participation restrictions. A systematic review of the literature including an 18-year period and consensus procedure by means of a Delphi process was performed and involved the delegates of all European countries represented in the Union of European Medical Specialists Physical and Rehabilitation Medicine (UEMS PRM) Section. As the result of a Consensus Delphi procedure, 74 recommendations are presented together with the systematic literature review. The PRM physician's role for persons with cerebral palsy is to lead and coordinate the multiprofessional team, working in an interdisciplinary way. They should propose and manage the complex but individual PRM program developed in conjunction with other health professionals, medical specialists and importantly in agreement with the patient, their family and care giver. This should be, according to the specific medical diagnosis to improve patients' health, functioning, social and education status, considering all impairments, comorbidities and complications, activity limitations and participation restrictions. This evidence-based position paper is representing the official position of The European Union through the UEMS PRM Section and designates the professional role of PRM physicians in persons with cerebral palsy.

Published
2021

19. Measurement of the cosmic-ray energy spectrum above 2.5×1018 eV using the Pierre Auger Observatory

Author

Jaroslaw Stasielak, Ana Martina Botti, Marcus Niechciol, Alberto Daniel Supanitsky, Alexey Yushkov, Petr Schovánek, Pavel Horváth, Pedro Assis, Nataliia Borodai, Luis Lopes, Luis Nunez, Carla Bleve, Alberto Blanco, Katharine Mulrey, Antonella Castellina, Francesca Zuccarello, Felicia Carla Tiziana Barbato, Emanuele De Vito, Jose Alfredo Bellido Caceres, Fausto Guarino, Jeffrey Brack, Kai Daumiller, Dariusz Gora, Christian Sarmiento-Cano, Alessio Gorgi, Peter Biermann, Teresa Bister, LORENZO CACCIANIGA, Beatriz Garcia, Bruce Dawson, Alena Bakalova, MASSIMO MASTRODICASA, Edivaldo Moura Santos, Stijn Buitink, Bernardo Tomé, Ana Laura Müller, Mario BUSCEMI, Francesco Salamida, Johannes Hulsman, Henryk Wilczyński, Michael Unger, Ronald Cintra Shellard, Miguel Mostafa, Achille Nucita, Frederic Sarazin, Paul Mantsch, Ruben Conceição, Roger Clay, Lukáš Václavek, Giovanni Marsella, Markus Roth, Jakub Jurysek, Lorenzo Cazon, Eva Dos Santos, Corbin Covault, Francesco Fenu, Dalibor Nosek, Rossella Caruso, Alexandra Saftoiu, Tim Huege, Antonio CONDORELLI, Orazio Zapparrata, Jaime Alvarez-Muniz, Denise Boncioli, Guillermo Torralba Elipe, Martin Erdmann, Bruno Lazarotto Lago, Carlos José Todero Peixoto, Geraldina Golup, Jan Pękala, Maximilian Stadelmaier, Raul Sarmento, Enrique Varela, Antoine Letessier selvon, Vincenzo Rizi, Eleonora Guido, Pedro T. Abreu, Rafael Alves Batista, Arjen Van Vliet, and Jan Ebr

Subjects
Pierre Auger Observatory, Physics, Spectral index, 010308 nuclear & particles physics, Hadron, Flux, Cosmic ray, Astrophysics, 01 natural sciences, Flattening, 0103 physical sciences, 010306 general physics, Anisotropy, Zenith
Abstract

We report a measurement of the energy spectrum of cosmic rays for energies above 2.5×1018 eV based on 215,030 events recorded with zenith angles below 60°. A key feature of the work is that the estimates of the energies are independent of assumptions about the unknown hadronic physics or of the primary mass composition. The measurement is the most precise made hitherto with the accumulated exposure being so large that the measurements of the flux are dominated by systematic uncertainties except at energies above 5×1019 eV. The principal conclusions are(1) The flattening of the spectrum near 5×1018 eV, the so-called "ankle,"is confirmed.(2) The steepening of the spectrum at around 5×1019 eV is confirmed.(3) A new feature has been identified in the spectrum: in the region above the ankle the spectral index γ of the particle flux (∝E-γ) changes from 2.51±0.03 (stat)±0.05 (syst) to 3.05±0.05 (stat)±0.10 (syst) before changing sharply to 5.1±0.3 (stat)±0.1 (syst) above 5×1019 eV.(4) No evidence for any dependence of the spectrum on declination has been found other than a mild excess from the Southern Hemisphere that is consistent with the anisotropy observed above 8×1018 eV.

Published
2020
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20. Features of the Energy Spectrum of Cosmic Rays above 2.5×1018 eV Using the Pierre Auger Observatory

Author

Jaroslaw Stasielak, Ana Martina Botti, Marcus Niechciol, Alberto Daniel Supanitsky, Alexey Yushkov, Petr Schovánek, Toshihiro Fujii, Pavel Horváth, Pedro Assis, Nataliia Borodai, Luis Lopes, Luis Nunez, Carla Bleve, Alberto Blanco, Katharine Mulrey, Antonella Castellina, Francesca Zuccarello, Felicia Carla Tiziana Barbato, Emanuele De Vito, Jose Alfredo Bellido Caceres, Fausto Guarino, Jeffrey Brack, Kai Daumiller, Dariusz Gora, Christian Sarmiento-Cano, Carola Dobrigkeit Chinellato, Alessio Gorgi, Peter Biermann, Teresa Bister, LORENZO CACCIANIGA, Beatriz Garcia, Bruce Dawson, Alena Bakalova, MASSIMO MASTRODICASA, Edivaldo Moura Santos, Stijn Buitink, Bernardo Tomé, Ana Laura Müller, Mario BUSCEMI, Francesco Salamida, Johannes Hulsman, Henryk Wilczyński, Michael Unger, Ronald Cintra Shellard, Miguel Mostafa, Achille Nucita, Frederic Sarazin, Paul Mantsch, Ruben Conceição, Roger Clay, Lukáš Václavek, Giovanni Marsella, Markus Roth, Jakub Jurysek, Lorenzo Cazon, Eva Dos Santos, Corbin Covault, Francesco Fenu, Dalibor Nosek, Rossella Caruso, Alexandra Saftoiu, Tim Huege, Antonio CONDORELLI, Orazio Zapparrata, Jaime Alvarez-Muniz, Denise Boncioli, Guillermo Torralba Elipe, Martin Erdmann, Bruno Lazarotto Lago, Carlos José Todero Peixoto, Geraldina Golup, Jan Pękala, Maximilian Stadelmaier, Raul Sarmento, Enrique Varela, Antoine Letessier selvon, Vincenzo Rizi, Eleonora Guido, Pedro T. Abreu, Rafael Alves Batista, Arjen Van Vliet, and Jan Ebr

Subjects
010308 nuclear & particles physics, 0103 physical sciences, General Physics and Astronomy, 010306 general physics, 01 natural sciences
Published
2020
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21. A Longitudinal Study of Inhibited Temperament, Effortful Control, Gender, and Anxiety in Early Childhood

Author

Laura A. Niditch and R. Enrique Varela

Subjects
050103 clinical psychology, Longitudinal study, media_common.quotation_subject, Personality development, 05 social sciences, Protective factor, Self-control, Developmental psychology, Moderated mediation, medicine, Anxiety, 0501 psychology and cognitive sciences, Temperament, Early childhood, medicine.symptom, Life-span and Life-course Studies, Psychology, Social Sciences (miscellaneous), 050104 developmental & child psychology, media_common
Abstract

Temperament has been associated with child anxiety in a number of studies; however, research examining possible mechanisms of effect using longitudinal designs is scarce. This study tested a theoretically-derived model of anxiety development spanning infancy (6 months) to early childhood (approximately 72 months) that includes temperamental reactivity (i.e., behavioral inhibition), temperamental self-regulation (i.e., effortful control), and gender. Data used in this study were collected in phase I and phase II from 1226 children and their caregivers by the National Institute of Child Health and Human Development for their prospective, longitudinal Study of Early Child Care and Youth Development. Structural equation modeling procedures were used to test whether effortful control mediated the relation between behavioral inhibition and anxiety and whether such mediation varied by gender. Results provided support for the model, suggesting that one mechanism linking the modest association between behavioral inhibition in infancy to anxiety symptoms in early childhood is through diminished effortful control. Further, moderated mediation analyses indicated that this mechanism was apparent only for girls. Modulation of temperamental reactivity via effortful control may be a protective factor in the translation of early behavioral inhibition to childhood anxiety for girls.

Published
2018
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22. Age Differences in Expression of Generalized and Social Anxiety Among Youth with Autism Spectrum Disorder

Author

R Enrique, Varela, Randolph, DuPont, Jodi L, Kamps, Carl F, Weems, Laura, Niditch, Elliott A, Beaton, and Gabriella, Pucci

Subjects
Male, Child Development, Adolescent, Autism Spectrum Disorder, Humans, Female, Phobia, Social, Adolescent Development, Child
Abstract

This study examined differences in generalized and social anxiety symptoms across two age groups of children with autism spectrum disorder (ASD) while accounting for overall anxiety level, gender, and intellectual functioning. Older children (12-18 years) expressed more overall and social anxiety symptoms than younger children (6-11 years), and social anxiety symptoms were predominant in the older group. Younger children expressed more generalized anxiety symptoms than the older youth, and there was a trend for generalized anxiety symptoms to be more dominant in the younger group. Findings are consistent with theory of differential expression of specific anxiety symptoms across different ages seen with typically developing children, yet social evaluative concerns may be even stronger for adolescents with ASD.

Published
2019

23. European Framework of Rehabilitation Services Types: the perspective of the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists

Author

Carlotte Kiekens, Melissa Selb, Gerold Stucki, Maria G Ceravolo, N. Christodoulou, M. Zampolini, Enrique Varela Donoso, and Mark Delargy

Subjects
030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, International Classification of Functioning, Disability and Health, Acute care, medicine, media_common.cataloged_instance, Humans, European Union, European union, media_common, Service (business), Medical education, Rehabilitation, business.industry, Physical and Rehabilitation Medicine, Identification (information), Action plan, 0305 other medical science, business, 030217 neurology & neurosurgery, Specialization
Abstract

Background Effectiveness in health services is achieved if desired clinical outcomes are reached. In rehabilitation the relevant clinical outcome is functioning, with the International Classification of Functioning, Disability and Health (ICF) as the reference system for the standardized reporting of functioning outcomes. To foster the implementation of the ICF in clinical quality management (CQM) across the rehabilitation services continuum, the UEMS-PRM Section and Board approved an ICF implementation action plan that includes the identification of types of currently provided rehabilitation services in Europe. The objective of this paper is to report on the development of a European framework of rehabilitation service types that can provide the foundation for the standardized reporting of functioning outcomes and CQM programs. Methods A multistage consensus process involving delegates (participants) from the UEMS-PRM Section and Board as well as external experts across European regions comprised the development of an initial framework by an editorial group, two feedback rounds via e-mail and a deliberation by the UEMS-PRM Section and Board in its September 2018 meeting in Stockholm (Sweden). In the first feedback round, participants were asked whether: 1) the initial framework of service types exists in their respective country: 2) the description represents the service type: and 3) an existing service type was missing. Based on the first-round results, the framework proposal was modified by the editorial group. In the second feedback round, participants were asked to confirm or comment on each of the service types in the revised framework. Based on the second-round results, the framework proposal was again modified and presented for discussion, revision and approval at the Stockholm meeting. Results In the first feedback round, eight rehabilitation services were added to the framework proposal and two service types that were deemed "missing" were not included. In the second round, all seven initially proposed and six of the added service types were reconfirmed, while two of the added service types were not supported. Based on deliberations at the Stockholm meeting, some modifications were made to the proposed framework, and the UEMS-PRM general assembly approved a European Framework of Rehabilitation Service Types that comprises of: Rehabilitation in acute care, General post-acute rehabilitation, Specialized post-acute rehabilitation, General outpatient rehabilitation, Specialized outpatient rehabilitation, General day rehabilitation, Specialized day rehabilitation, Vocational rehabilitation, Rehabilitation in the community, Rehabilitation services at home (incl. nursing home), Rehabilitation for specific groups of persons with disability, Rehabilitation in social assistance, Specialized lifelong follow-up rehabilitation, and Rehabilitation in medical health resorts. Conclusions The European Framework of Rehabilitation Services Types presented in this paper will be continuously updated according to new and emerging service types. Next steps of the UEMS-PRM effort to implement the ICF in rehabilitation include the specification of clinical assessment schedules for each service type and case studies illustrating service provision across the spectrum of rehabilitation service types. The European Framework will enable the accountable reporting of functioning outcomes at the national level and the continuous improvement of rehabilitation service provision in CQM.

Published
2019

24. Efficacy of aquatic therapy for neck pain: a systematic review

Author

Onica Armijo, Francisco Armijo, Enrique Varela, Antonio Alvarez-Badillo, Iluminada Corvillo, and Francisco Maraver

Subjects
Balneotherapy, Atmospheric Science, medicine.medical_specialty, 010504 meteorology & atmospheric sciences, Health, Toxicology and Mutagenesis, medicine.medical_treatment, 01 natural sciences, law.invention, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Randomized controlled trial, law, medicine, Aquatic therapy, Humans, Single-Blind Method, Prospective Studies, Hydrotherapy, 0105 earth and related environmental sciences, Retrospective Studies, 030203 arthritis & rheumatology, Neck pain, Neck Pain, Ecology, business.industry, Balneology, Retrospective cohort study, Physical therapy, Quality of Life, Observational study, medicine.symptom, business
Abstract

This study systematically reviews the current state of aquatic treatment of neck pain and assesses the scientific evidence of its benefits. The databases PubMed, Scopus, Web of Science and PEDro were searched for relevant reports published from January 1, 2008, to November 7, 2017, using the keywords "neck pain" in addition to "balneotherapy", "spa treatment", "spa", "thalassotherapy", "hydrotherapy", "aquatic therapy" or "aquatic". Inclusion criteria were full-text articles published in journals included in Journal Citation Reports in English and Spanish describing human studies. Case studies, letters to the editor and meeting presentations or other contributions were excluded. Of 367 articles identified, only 13 fulfilled the inclusion criteria: 5 randomized trials, 1 single blind controlled study, 2 pilot studies, 2 observational retrospective studies, 1 prospective study, 1 clinical study and 1 not specified. Participants were 658 subjects with chronic neck pain. Main symptoms and signs treated were neck pain, disability, cervical disc herniation and compromised quality of life. Evidence that aquatic treatment improves quality of life in affected individuals was good in four studies, fair in eight and weak in one. Treatment of neck pain using different waters and techniques reduced pain and disability, and improved functional capacity, quality of life, joint mobility, balance, relaxation and mood.

Published
2019

25. Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with stroke. The European PRM position (UEMS PRM Section)

Author

N. Christodoulou, Ayşe A Küçükdeveci, Katharina S. Sunnerhagen, Mauro Zampolini, Enrique Varela Donoso, Volodymyr Golyk, G. E. Ivanova, Carlotte Kiekens, and A. Delarque

Subjects
030506 rehabilitation, medicine.medical_specialty, Evidence-based practice, medicine.medical_treatment, MEDLINE, Delphi method, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Quality of life (healthcare), Physical medicine and rehabilitation, Humans, Medicine, media_common.cataloged_instance, Practice Patterns, Physicians', European union, Physician's Role, Physical Therapy Modalities, media_common, Rehabilitation, business.industry, Stroke Rehabilitation, humanities, Stroke, Systematic review, Position paper, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract

Background Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM physicians for people with stroke. The aim of this study is to improve PRM physicians' professional practice for persons with stroke in order to promote their functioning and enhance quality of life. Methods A systematic review of the literature including a ten-year period and a consensus procedure by means of a Delphi process has been performed involving the delegates of all European countries represented in the UEMS PRM Section. Results The systematic literature review is reported together with 78 recommendations resulting from the Delphi procedure. Conclusions The professional role of PRM physicians for persons with stroke is to improve specialized rehabilitation services worldwide in different settings and to organize and manage the comprehensive rehabilitation programme for stroke survivors considering all impairments, comorbidities and complications, activity limitations and participation restrictions as well as personal and environmental factors.

Published
2019
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26. Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for Adults with Acquired Brain Injury. The European PRM position (UEMS PRM Section)

Author

Enrique Varela Donoso, Mark Delargy, Rajiv Singh, Zoltán Dénes, Carlotte Kiekens, Sara Laxe, Yvona Angerova, Renato Nunes, Paolo Boldrini, N. Christodoulou, and Klemen Grabljevec

Subjects
030506 rehabilitation, medicine.medical_specialty, Evidence-based practice, medicine.medical_treatment, education, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Quality of life (healthcare), Physical medicine and rehabilitation, medicine, media_common.cataloged_instance, Humans, European union, Practice Patterns, Physicians', Physician's Role, Acquired brain injury, Physical Therapy Modalities, media_common, computer.programming_language, Rehabilitation, business.industry, medicine.disease, humanities, Brain Injuries, Position paper, 0305 other medical science, business, computer, 030217 neurology & neurosurgery, Delphi
Abstract

Background Acquired brain injury (ABI) is damage to the brain that occurs after birth caused either by a traumatic or by a nontraumatic injury. The rehabilitation process following ABI should be performed by a multi-professional team, working in an interdisciplinary way, with the aim of organizing a comprehensive and holistic approach to persons with every severity of ABI. This Evidence Based Position Paper represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM physicians for people with ABI. The aim was to formulate recommendations on the PRM physician's professional practice for persons with ABI in order to promote their functioning and enhance quality of life. Methods This paper has been developed according to the methodology defined by the Professional Practice Committee of the UEMS-PRM Section: a systematic literature search has been performed in PubMed and Core Clinical Journals. On the basis of the selected papers, recommendations have been made as a result of five Delphi rounds. Results The literature review as well as thirty-one recommendations are presented. Conclusions The expert consensus is that structured, comprehensive and holistic rehabilitation program delivered by the multi-professional team, working in an interdisciplinary way, with the leadership and coordination of the PRM physician, is likely to be effective, especially for those with severe disability after brain injury.

Published
2018

27. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with cardiovascular conditions. The European PRM position (UEMS PRM Section)

Author

Alvydas Juocevicius, Aydan Oral, Aet Lukmann, Peter Takáč, Piotr Tederko, Ilze Hāznere, Catarina Aguiar-Branco, Milica Lazovic, Stefano Negrini, Enrique Varela Donoso, and Nicolas Christodoulou

Subjects
Male, Delphi Technique, Heart Diseases, Rehabilitation, Physical Therapy, Sports Therapy and Rehabilitation, Professional Practice, Physical and Rehabilitation Medicine, Cardiovascular Diseases, Evidence-Based Practice, Practice Guidelines as Topic, Humans, Female, European Union, Physical Therapy Modalities
Abstract

Cardiovascular conditions are significant causes of mortality and morbidity leading to substantial disability. The aim of the paper is to improve Physical and Rehabilitation Medicine (PRM) physicians' professional practice for people with cardiovascular conditions in order to promote their functioning and to reduce activity limitations and/or participation restrictions. A systematic review of the literature and a Consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section. The systematic literature review is reported together with thirty recommendations resulting from the Delphi procedure. The professional role of PRM physicians having expertise in the rehabilitation of cardiovascular conditions is to lead cardiac rehabilitation programs in multiprofessional teams, working in collaboration with other disciplines in a variety of settings to improve functioning of people with cardiovascular conditions. This evidence-based position paper represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in persons with cardiovascular conditions.

Published
2018

28. A Pilot Study Examining the Effectiveness of the PEERS Program on Social Skills and Anxiety in Adolescents with Autism Spectrum Disorder

Author

Sarah A. O. Gray, Elizabeth Carey, Trenesha L. Hill, R. Enrique Varela, Jodi L. Kamps, Courtney N. Baker, Koren Boggs, and Corinn Johnson

Subjects
medicine.medical_specialty, education, Physical Therapy, Sports Therapy and Rehabilitation, Article, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, Social skills, Social cognition, law, Intervention (counseling), Developmental and Educational Psychology, medicine, 0501 psychology and cognitive sciences, Public health, 05 social sciences, medicine.disease, Social engagement, Autism spectrum disorder, Anxiety, medicine.symptom, Psychology, 030217 neurology & neurosurgery, 050104 developmental & child psychology, Clinical psychology
Abstract

The Program for the Evaluation of the Enrichment of Relational Skills (PEERS), a social skills intervention for high functioning adolescents with autism spectrum disorder (ASD), has been proven efficacious in randomized control trials. However, the effectiveness of the PEERS program in community settings has not been studied. The present small-scale pilot study examined the effectiveness of the PEERS program in a community setting. Five adolescents and their caregivers participated in the PEERS intervention. Results indicated that the adolescents showed significant improvement in their social engagement, social cognition, social communication, social motivation, and knowledge of PEERS skills and concepts from pre- to post-intervention. Furthermore, adolescents showed significant reductions in their internalizing and autistic symptoms from pre- to post-intervention. The findings from this small-scale pilot study support the effectiveness of the PEERS program in community-based settings.

Published
2018

29. Evidence based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for persons with acute and chronic pain. The European PRM position (UEMS PRM Section)

Author

F Antunes, Gabor Fazekas, Enrique Varela Donoso, S. R. Schwarzkopf, N. Barotsis, N. Christodoulou, Andreas Winkelmann, and Stefano Negrini

Subjects
030506 rehabilitation, medicine.medical_specialty, Evidence-based practice, viruses, medicine.medical_treatment, Psychological intervention, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Complaint, Humans, Medicine, media_common.cataloged_instance, Practice Patterns, Physicians', European union, Physician's Role, Physical Therapy Modalities, media_common, Rehabilitation, business.industry, Chronic pain, virus diseases, medicine.disease, Acute Pain, humanities, Position paper, Chronic Pain, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract

Background Pain is a frequent complaint from patients undergoing rehabilitation. It can be a major problem and can lead to several activity limitations and participation restrictions. For this reason, when the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the European Union of Medical Specialists (UEMS) decided to prepare evidence-based practice position papers (EBPPs) on the most relevant fields of PRM, a paper on the role of the PRM specialist on pain conditions was also included. The goals of this paper are to provide recommendations on the PRM physician's role in pain management; how to address this major problem and what is the best evidence-based approach for the PRM physician in acute and chronic pain conditions. This paper follows the methodology defined by the Professional Practice Committee of the UEMS-PRM Section. Methods A systematic literature search in PubMed was carried out and the results obtained from filtered papers were subjected to four Delphi rounds. Results Fifteen recommendations were obtained from the Consensus Process and systematic review and were approved by all of the delegates of the UEMS-PRM Section. It is recommended that PRM physicians focus on pain as a primary aim of their interventions, in whatever field they are applying their competencies. It is also recommended that the approach to pain focuses either on reducing the symptoms and improving functioning/reducing disability or recurrences and improving the health condition in the long term avoiding chronicity. Conclusions Every PRM specialist encounters the problem of pain and some specialize in this field and their role is greater than that of the regular PRM doctor. Based on the evidence available, it is reasonable to determine the role of the physiatrist in managing pain.

Published
2018

30. Evidence based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for ageing people with disabilities. The European PRM position (UEMS PRM Section)

Author

Christina-Anastasia Rapidi, Aydan Oral, Jolanta Kujawa, N. Christodoulou, Xanthi Michail, Enrique Varela Donoso, J Votava, Stefano Negrini, and Nikolaos Roussos

Subjects
Male, 030506 rehabilitation, medicine.medical_specialty, Aging, Evidence-based practice, Health Services for the Aged, medicine.medical_treatment, Delphi method, 030209 endocrinology & metabolism, Physical Therapy, Sports Therapy and Rehabilitation, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Health care, Outcome Assessment, Health Care, medicine, media_common.cataloged_instance, Humans, Disabled Persons, European Union, European union, media_common, Aged, Aged, 80 and over, Rehabilitation, business.industry, Professional Practice, Middle Aged, Physical and Rehabilitation Medicine, humanities, Integrated care, Systematic review, Evidence-Based Practice, Practice Guidelines as Topic, Disease Progression, Position paper, Female, 0305 other medical science, business
Abstract

Ageing people with disabilities (APwDs) are faced with challenges of ageing which is straightforwardly related to disability that adds to the burden related to their early-onset disability. The aim of the paper is to improve Physical and Rehabilitation Medicine (PRM) physicians' professional practice for APwDs (as a distinct group from those who are disabled due to the ageing process) in order to promote their functioning properties and to reduce activity limitations and/or participation restrictions. A systematic review of the literature and a Consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section. The systematic literature review is reported together with the 30 recommendations resulting from the Delphi procedure. The professional role of PRM physicians in relation to APwDs is extending, expanding and/or improving health-related rehabilitation services worldwide in various settings (getting beyond the rehabilitation facilities) emphasizing the concept of integrated care with collaboration across other sectors to meet the specific needs of APwDs. This evidence based position paper (EBPP) represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in APwDs.

Published
2017

31. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with obesity and related comorbidities. The European PRM position (UEMS PRM Section)

Author

Paolo, Capodaglio, Elena, Ilieva, Aydan, Oral, Carlotte, Kiekens, Stefano, Negrini, Enrique, Varela Donoso, and Nicolas, Christodoulou

Subjects
Male, medicine.medical_specialty, Evidence-based practice, Disability evaluation, Delphi Technique, Physical Therapy, medicine.medical_treatment, education, Delphi method, MEDLINE, Physical Therapy, Sports Therapy and Rehabilitation, Sports Therapy and Rehabilitation, Comorbidity, Quality of life (healthcare), Physical medicine and rehabilitation, Obesity, Rehabilitation, Health care, Outcome Assessment, Health Care, medicine, Humans, Physical Therapy Modalities, business.industry, Physical and Rehabilitation Medicine, Europe, Systematic review, Evidence-Based Practice, Practice Guidelines as Topic, Position paper, Female, business
Abstract

Introduction The WHO world health statistics report in 2015 shows that in Europe the overall obesity rate among adults is 21.5% in males and 24.5% in females. Obesity has important consequences for morbidity, disability and quality of life. The aim of the paper was to improve physical and rehabilitation medicine physicians' professional practice for the rehabilitation of patients with obesity and related comorbidities. Evidence acquisition A systematic review of the literature and a Consensus procedure by means of a Delphi method process has been performed involving the delegates of all European countries represented in the UEMS PRM Section. Evidence synthesis The systematic literature review is reported together with the 13 recommendations from the Delphi procedure. Conclusions The professional role of PRM physicians in obesity is to propose a complete PRM treatment for the patients considering the comorbidities, impairments, activity limitations and participation restrictions, providing medical care and leadership to the multidisciplinary team, coordinating the individual PRM project developed in team in agreement with the patient and his family/care givers.

Published
2017

32. Construct Specification of Cultural Intelligence: A Meta-Analysis

Author

Tine Koehler and Otmar Enrique Varela

Subjects
Knowledge management, Cultural intelligence, business.industry, Meta-analysis, General Medicine, Psychology, business
Abstract

The literature on cultural intelligence (CQ) has experienced a rapid development that reflects an increased interest in understanding how people adapt across cultures. Despite this development, iss...

Published
2018
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33. Energy estimation of cosmic rays with the Engineering Radio Array of the Pierre Auger Observatory

Author

Pierre Auger Collaboration (Alexander Aab (Siegen, U. )., Pedro Abreu (LIP, Lisbon &amp, Lisbon, IST), Marco Aglietta (IFSI, Turin), Eun-Joo Ahn (Fermilab), Imen Al Samarai (Orsay, IPN), Ivone Albuquerque (Sao Paulo, U. )., Ingomar Allekotte (Centro Atomico Bariloche &amp, Balseiro, Inst., San Carlos de Bariloche), Patrick Allison (Ohio State, U. )., Alejandro Almela, (U. Tech. Natl., Argentina), Jesus Alvarez Castillo (Mexico, U. )., Jaime Alvarez-Muñiz (Santiago de Compostela, U. )., Rafael Alves Batista (Hamburg, U., II), Inst. Theor. Phys., amp, INFN, Michelangelo Ambrosio (Naples U., Naples), Amin Aminaei (Nijmegen, U., IMAPP), INFN, Gioacchino Alex Anastasi (Catania U., Catania), Luis Anchordoqui (Lehman, Coll. )., Sofia Andringa (LIP, INFN, Carla Aramo (Naples U., Fernando Arqueros (Madrid, U. )., Nicusor Arsene (Bucharest, U. )., Hernán Gonzalo Asorey (Centro Atomico Bariloche &amp, San Carlos de Bariloche &amp, Cantabria, U., Santander), Pedro Assis (LIP, Julien Aublin (Paris, U., VI-VII), Gualberto Avila (Pierre Auger, Observ. )., Nafiun Awal (New York, U. )., Alina Mihaela Badescu (Bucharest, Polytechnic, Inst. )., Colin Baus (KIT, Karlsruhe, EKP), Jim Beatty (Ohio State, U. )., Karl Heinz Becker (Wuppertal, U. )., Jose A Bellido (Adelaide, U. )., Corinne Berat (LPSC, Grenoble), Mario Edoardo Bertaina (IFSI, Xavier Bertou (Centro Atomico Bariloche &amp, Peter Biermann (Bonn, Max Planck, Inst., Radioastro, n. )., Pierre Billoir (Paris, U., Simon G Blaess (Adelaide, U. )., Alberto Blanco (LIP, Miguel Blanco (Paris, U., Jiri Blazek (Prague, Ins, t. Phys. )., INFN, Carla Bleve (Salento U., Lecce), Hans Blümer (KIT, Karlsruhe, IKP &amp, KIT, Karlsruhe, IKP), Martina Boháčová (Prague, Denise Boncioli (Gran Sasso), Carla Bonifazi (Rio de Janeiro Federal, U. )., Nataliia Borodai (Cracow, INP), Jeffrey Brack (Colorado State, U. )., Iliana Brancus (Bucharest, IFIN-HH), Thomas Bretz (Aachen, Tec, h. Hochsch. )., Ariel Bridgeman (KIT, Pedro Brogueira (LIP, Peter Buchholz (Siegen, U. )., CAFPE, Antonio Bueno (Granada U., Granada), Stijn Buitink (Nijmegen, U., INFN, Mario Buscemi (Naples U., Karen, S Caballero-Mora (Unlisted, FR), INFN, Barbara Caccianiga (Milan U., Milan), Lorenzo Caccianiga (Paris, U., Marina Candusso (Rome, U., Tor Vergata &amp, INFN, Rome2), Laurentiu Caramete (Bucharest, Space Sciences), Inst., Caruso, R, Antonella Castellina (IFSI, INFN, Gabriella Cataldi (Salento U., Lorenzo Cazon (LIP, INFN, Rosanna Cester (Turin U., Alan, G Chavez (IFM-UMSNH, Michoacan), Andrea Chiavassa (IFSI, Jose Augusto Chinellato (Campinas State, U. )., Jiri Chudoba (Prague, INFN, Marco Cilmo (Naples U., Roger W Clay (Adelaide, U. )., INFN, Giuseppe Cocciolo (Salento U., INFN, Roberta Colalillo (Naples U., Alan Coleman (Penn State, U. )., INFN, Laura Collica (Milan U., INFN, Maria Rita Coluccia (Salento U., Ruben Conceição (LIP, Fernando Contreras (Pierre Auger, Observ. )., Mathew J Cooper (Adelaide, U. )., Alain Cordier (Orsay, LAL), Stephane Coutu (Penn State, U. )., Corbin Covault (Case Western Reserve, U. )., James Cronin (Chicago, U., EFI), Richard Dallier (Station Radioastronomy, Nancay &amp, SUBATECH, Nantes), Bruno Daniel (Campinas State, U. )., Buenos Aires, Sergio Dasso (Buenos Aires U., IAFE), Kai Daumiller (KIT, Bruce R Dawson (Adelaide, U. )., Rogerio, M de Almeida (Niteroi, Fluminense, U. )., Sijbrand J de Jong (Nijmegen, U., IMAPP &amp, NIKHEF, Amsterdam), Giuseppe De Mauro (Nijmegen, U., Joao de Mello Neto (Rio de Janeiro Federal, U. )., INFN, Ivan De Mitri (Salento U., Jaime de Oliveira (Niteroi, Vitor de Souza (Sao Paulo, U., Sao, Carlos), Luis del Peral (Alcala de Henares, U. )., Olivier Deligny (Orsay, Niraj Dhital (Michigan, Tech. U. )., Claudio Di Giulio (Rome, U., INFN, Armando Di Matteo (L'Aquila U., Aquila), Johana Chirinos Diaz (Michigan, Tech. U. )., Mary Lucia Díaz Castro (Campinas State, U. )., Francisco Diogo (LIP, Carola Dobrigkeit (Campinas State, U. )., Wendy Docters (Groningen, KVI), Juan Carlos D'Olivo (Mexico, U. )., Alexei Dorofeev (Colorado State, U. )., Qader Dorosti Hasankiadeh (KIT, Rita dos Anjos (Sao Paulo, U., Maria Teresa Dova (La Plata, U. )., Jan Ebr (Prague, Ralph Engel (KIT, Martin Erdmann (Aachen, Mona Erfani (Siegen, U. )., Fermilab), Carlos O Escobar (Campinas State U., Joao Espadanal (LIP, Alberto Etchegoyen, (U. Tech. Natl., Heino Falcke (Nijmegen, U., Amsterdam &amp, ASTRON, Dwingeloo), Ke Fang (Chicago, U., Glennys Farrar (New York, U. )., Anderson Fauth (Campinas State, U. )., Norberto Fazzini (Fermilab), Andrew P Ferguson (Case Western Reserve, U. )., Brian Fick (Michigan, Tech. U. )., Juan Manuel Figueira, Alberto, Filevich, Andrej Filipčič (Stefan, Inst., Ljubljana &amp, Nova Gorica, U. )., Octavian Fratu (Bucharest, Martín Miguel Freire (IFIR, Rosario &amp, Rosario, U. )., Toshihiro Fujii (Chicago, U., Beatriz García, (Natl. Tech. U., San, Rafael), Diego Garcia-Gamez (Orsay, Diego Garcia-Pinto (Madrid, U. )., Florian Gate (SUBATECH, Hartmut Gemmeke (KIT, Karlsruhe, IPE), Alexandru Gherghel-Lascu (Bucharest, Piera Luisa Ghia (Paris, U., Ugo Giaccari (Rio de Janeiro Federal, U. )., INFN, Marco Giammarchi (Milan U., Maria, Giller, Dariusz Głas (Lodz, U. )., Christian Glaser (Aachen, Henry Glass (Fermilab), Geraldina, Golup, Mariano Gómez Berisso (Centro Atomico Bariloche &amp, Primo F Gómez Vitale (Pierre Auger, Observ. )., Nicolás, González, Ben Gookin (Colorado State, U. )., Jacob Gordon (Ohio State, U. )., Alessio Gorgi (IFSI, Peter Gorham (Hawaii, U. )., Philippe Gouffon (Sao Paulo, U. )., Nathan Griffith (Ohio State, U. )., Aurelio Grillo (Gran Sasso), Trent D Grubb (Adelaide, U. )., INFN, Fausto Guarino (Naples U., Germano Guedes (UEFS, Feira de Santana), Matías Rolf Hampel, Patricia Hansen (La Plata, U. )., Diego Harari (Centro Atomico Bariloche &amp, Thomas A Harrison (Adelaide, U. )., Sebastian Hartmann (Aachen, John Harton (Colorado State, U. )., Andreas Haungs (KIT, Thomas Hebbeker (Aachen, Dieter Heck (KIT, Philipp Heimann (Siegen, U. )., Alexander, E Herve (KIT, Gary C Hill (Adelaide, U. )., Carlos Hojvat (Fermilab), Nicholas Hollon (Chicago, U., Ewa Holt (KIT, Piotr Homola (Wuppertal, U. )., Jörg Hörandel (Nijmegen, U., Pavel Horvath (Palacky, U. )., Miroslav Hrabovský (Prague, Ins, t. Phys. &amp, Palacky U. )., Daniel Huber (KIT, Tim Huege (KIT, INFN, Antonio Insolia (Catania U., Paula Gina Isar (Bucharest, Ingolf Jandt (Wuppertal, U. )., Stefan Jansen (Nijmegen, U., Cecilia Jarne (La Plata, U. )., Jeffrey, A Johnsen (Colorado School of Mines), Mariela, Josebachuili, Alex Kääpä (Wuppertal, U. )., Olga Kambeitz (KIT, Karl Heinz Kampert (Wuppertal, U. )., Peter Kasper (Fermilab), Igor Katkov (KIT, Bianca Keilhauer (KIT, Ernesto Kemp (Campinas State, U. )., Roger Kieckhafer (Michigan, Tech. U. )., Hans Klages (KIT, Matthias Kleifges (KIT, Jonny Kleinfeller (Pierre Auger, Observ. )., Raphael Krause (Aachen, Nicole Krohm (Wuppertal, U. )., Daniel Kuempel (Aachen, Gasper Kukec Mezek (Nova Gorica, U. )., Norbert Kunka (KIT, Alaa Metwaly Kuotb Awad (KIT, Danielle LaHurd (Case Western Reserve, U. )., Luca Latronico (IFSI, Robert Lauer (New Mexico, U. )., Markus Lauscher (Aachen, Pascal Lautridou (SUBATECH, Sandra Le Coz, Didier Lebrun (LPSC, Paul Lebrun (Fermilab), Marcelo Augusto Leigui de Oliveira (ABC Federal, U. )., Antoine Letessier-Selvon (Paris, U., Isabelle Lhenry-Yvon (Orsay, Katrin Link (KIT, Luis Lopes (LIP, Rebeca López (Puebla, U., Ins, t. Fis. )., Aida López Casado (Santiago de Compostela, U. )., Karim Louedec (LPSC, Agustin, Lucero, Max Malacari (Adelaide, U. )., INFN, Manuela Mallamaci (Milan U., Jennifer Maller (SUBATECH, Dusan Mandat (Prague, Paul Mantsch (Fermilab), Analisa Mariazzi (La Plata, U. )., Vincent Marin (SUBATECH, CAFPE, Ioana Mariş (Granada U., Giovanni, Marsella, INFN, Daniele Martello (Salento U., Humberto Martinez (CINVESTAV, Oscar Martínez Bravo (Puebla, U., Diane Martraire (Orsay, Jimmy Masías Meza (Buenos Aires, U. )., Hermann-Josef Mathes (KIT, Sebastian Mathys (Wuppertal, U. )., James Matthews (Louisiana State, U. )., John Matthews (New Mexico, U. )., Giorgio Matthiae (Rome, U., Daniela Maurizio (Rio de Janeiro, CBPF), Eric Mayotte (Colorado School of Mines), Peter Mazur (Fermilab), Carlos Medina (Colorado School of Mines), Gustavo Medina-Tanco (Mexico, U. )., Rebecca Meissner (Aachen, Victor Mello (Rio de Janeiro Federal, U. )., Diego, Melo, Alexander Menshikov (KIT, Stefano Messina (Groningen, Maria Isabel Micheletti (IFIR, Lukas Middendorf (Aachen, Ignacio A Minaya (Madrid, U. )., INFN, Lino Miramonti (Milan U., Bogdan Mitrica (Bucharest, CAFPE, Laura Molina-Bueno (Granada U., Silvia Mollerach (Centro Atomico Bariloche &amp, François Montanet (LPSC, Carlo Morello (IFSI, Miguel Mostafá (Penn State, U. )., Celio A Moura (ABC Federal, U. )., Marcio Aparecido Muller (Campinas State, U. )., Gero Müller (Aachen, Sarah Müller (KIT, CAFPE, Sergio Navas (Granada U., Petr Necesal (Prague, Lukas Nellen (Mexico, U. )., Anna Nelles (Nijmegen, U., Jens Neuser (Wuppertal, U. )., Phong H Nguyen (Adelaide, U. )., Mihai Niculescu-Oglinzanu (Bucharest, Marcus Niechciol (Siegen, U. )., Lukas Niemietz (Wuppertal, U. )., Tim Niggemann (Aachen, Dave Nitz (Michigan, Tech. U. )., Dalibor, Nosek, Vladimir Novotny (Charles, U. )., Lyberis Nožka (Palacky, U. )., Luis Núñez (Cantabria, U., Livingstone Ochilo (Siegen, U. )., Foteini Oikonomou (Penn State, U. )., Angela Olinto (Chicago, U., Noelia Pacheco (Alcala de Henares, U. )., Daniel Pakk Selmi-Dei (Campinas State, U. )., Miroslav Palatka (Prague, Juan Pallotta (LIDAR CITEFA), Philipp Papenbreer (Wuppertal, U. )., Gonzalo Parente (Santiago de Compostela, U. )., Alejandra Parra (Puebla, U., Thomas Paul (Lehman, Coll. &amp, Northeastern U. )., Miroslav Pech (Prague, Jan Pękala (Cracow, Rodrigo Pelayo (Ulisted, MX), Iuri Pepe (Bahia, U. )., INFN, Lorenzo Perrone (Salento U., Emily Petermann (Nebraska, U. )., Christine Peters (Aachen, INFN, Sergio Petrera (L'Aquila U., Yevgeniy Petrov (Colorado State, U. )., Jamyang Phuntsok (Penn State, U. )., Ricardo Piegaia (Buenos Aires, U. )., Tanguy Pierog (KIT, Pablo Pieroni (Buenos Aires, U. )., Mário Pimenta (LIP, INFN, Valerio Pirronello (Catania U., Manuel, Platino, Matthias Plum (Aachen, Alessio Porcelli (KIT, Czeslaw Porowski (Cracow, Raul Ribeiro Prado (Sao Paulo, U., Paolo Privitera (Chicago, U., Michael Prouza (Prague, Eduardo, J Quel (LIDAR CITEFA), Sven Querchfeld (Wuppertal, U. )., Sean Quinn (Case Western Reserve, U. )., Julian Rautenberg (Wuppertal, U. )., Olivier Ravel (SUBATECH, Diego, Ravignani, Darius Reinert (Aachen, Benoît Revenu (SUBATECH, Jan Ridky (Prague, Markus Risse (Siegen, U. )., Pablo Ristori (LIDAR CITEFA), INFN, Vincenzo Rizi (L'Aquila U., Washington Rodrigues de Carvalho (Santiago de Compostela, U. )., Jorge Rubén Rodriguez Rojo (Pierre Auger, Observ. )., Maria Dolores Rodríguez-Frías (Alcala de Henares, U. )., Dmytro Rogozin (KIT, Jaime Rosado (Madrid, U. )., Markus Roth (KIT, Esteban Roulet (Centro Atomico Bariloche &amp, Adrian Rovero (Buenos Aires, Steven J Saffi (Adelaide, U. )., Alexandra Saftoiu (Bucharest, Humberto Salazar (Puebla, U., Ahmed Saleh (Nova Gorica, U. )., Francisco Salesa Greus (Penn State, U. )., Gaetano Salina (Rome, U., Jose Sanabria Gomez (Cantabria, U., Federico, Sánchez, CAFPE, Patricia Sanchez-Lucas (Granada U., Edivaldo Moura Santos (Sao Paulo, U. )., Eva Santos (Campinas State, U. )., Fred Sarazin (Colorado School of Mines), Biswaijt Sarkar (Wuppertal, U. )., Raul Sarmento (LIP, Christian Sarmiento-Cano (Cantabria, U., Ricardo, Sato, Carlos Scarso (Pierre Auger, Observ. )., Markus Schauer (Wuppertal, U. )., INFN, Viviana Scherini (Salento U., Harald, Schieler, David Schmidt (KIT, Olaf Scholten (Groningen, Harm Schoorlemmer (Hawaii, U. )., Petr Schovánek (Prague, Frank, G Schröder, Alexander Schulz (KIT, Johannes Schulz (Nijmegen, U., Johannes Schumacher (Aachen, Sergio Sciutto (La Plata, U. )., Alberto Segreto (IASF, Palermo), Mariangela Settimo (Paris, U., Amir Shadkam (Louisiana State, U. )., Ronald, C Shellard (Rio de Janeiro, Guenter Sigl (Hamburg, U., Octavian Sima (Bucharest, U. )., Andrzej Śmiałkowski (Lodz, U. )., Radomir Šmída (KIT, Gregory Snow (Nebraska, U. )., Paul Sommers (Penn State, U. )., Sebastian Sonntag (Siegen, U. )., J Sorokin (Adelaide, U. )., Ruben Squartini (Pierre Auger, Observ. )., Yogendra N Srivastava (Northeastern, U. )., Denis Stanca (Bucharest, Samo Stanič (Nova Gorica, U. )., James Stapleton (Ohio State, U. )., Jaroslaw Stasielak (Cracow, Maurice Stephan (Aachen, Anne Stutz (LPSC, Federico Suarez, (U. Tech. Natl., Mauricio Suarez Durán (Cantabria, U., Tiina Suomijärvi (Orsay, A Daniel Supanitsky (Buenos Aires, Michael Sutherland (Ohio State, U. )., John Swain (Northeastern, U. )., Zbigniew Szadkowski (Lodz, U. )., Oscar Alejandro Taborda (Centro Atomico Bariloche &amp, Alex, Tapia, Andreas Tepe (Siegen, U. )., Vanessa Menezes Theodoro (Campinas State, U. )., Omar Tibolla (Unlisted, Charles Timmermans (Nijmegen, U., Carlos, J Todero Peixoto, Gabriel Toma (Bucharest, Lenka Tomankova (KIT, Bernardo Tomé (LIP, INFN, Aurelio Tonachini (Turin U., Guillermo Torralba Elipe (Santiago de Compostela, U. )., Diego Torres Machado (Rio de Janeiro Federal, U. )., Petr Travnicek (Prague, Marta Trini (Nova Gorica, U. )., Ralf Ulrich (KIT, Michael Unger (KIT, New York, U. )., Martin Urban (Aachen, Jose F Valdés Galicia (Mexico, U. )., Ines Valiño (Santiago de Compostela, U. )., INFN, Laura Valore (Naples U., Guus van Aar (Nijmegen, U., Patrick van Bodegom (Adelaide, U. )., M van den Berg (Groningen, Ad, Sjoert van Velzen (Nijmegen, U., Arjen van Vliet (Hamburg, U., Enrique Varela (Puebla, U., Bernardo Vargas Cárdenas (Mexico, U. )., Gary Varner (Hawaii, U. )., Rafael Vasquez (Rio de Janeiro Federal, U. )., Jose R Vázquez (Madrid, U. )., Ricardo Vázquez (Santiago de Compostela, U. )., Darko Veberič (KIT, Valerio Verzi (Rome, U., Jakub Vicha (Prague, Mariela, Videla, Luis Villaseñor (IFM-UMSNH, Brian Vlcek (Alcala de Henares, U. )., Serguei Vorobiov (Nova Gorica, U. )., Hernan Wahlberg (La Plata, U. )., Oscar Wainberg, (U. Tech. Natl., David Walz (Aachen, Alan, Watson, Marc Weber (KIT, Klaus Weidenhaupt (Aachen, Andreas Weindl (KIT, Christoph Welling (Aachen, Felix Werner (KIT, Allan Widom (Northeastern, U. )., Lawrence Wiencke (Colorado School of Mines), Henryk Wilczyński (Cracow, Tobias, Winchen, David Wittkowski (Wuppertal, U. )., Brian, Wundheiler, Sarka Wykes (Nijmegen, U., Lili Yang (Nova Gorica, U. )., Tolga Yapici (Michigan, Tech. U. )., Alexey Yushkov (Siegen, U. )., Enrique Zas (Santiago de Compostela, U. )., Danilo, Zavrtanik, Marko Zavrtanik (Stefan, Inst., Arnulfo Zepeda (CINVESTAV, Benedikt Zimmermann (KIT, Michael Ziolkowski (Siegen, U. )., INFN, Francesca Zuccarello (Catania U., Catania), ), Aab, A., Abreu, P., Aglietta, M., Ahn, E. J., Al Samarai, I., Albuquerque, I. F. M., Allekotte, I., Allison, P., Almela, A., Alvarez Castillo, J., Alvarez Muñiz, J., Alves Batista, R., Ambrosio, M., Aminaei, A., Anastasi, G. A., Anchordoqui, L., Andringa, S., Aramo, C., Arqueros, F., Arsene, N., Asorey, H., Assis, P., Aublin, J., Avila, G., Awal, N., Badescu, A. M., Baus, C., Beatty, J. J., Becker, K. H., Bellido, J. A., Berat, C., Bertaina, M. E., Bertou, X., Biermann, P. L., Billoir, P., Blaess, S. G., Blanco, A., Blanco, M., Blazek, J., Bleve, C., Blümer, H., Boháčová, M., Boncioli, D., Bonifazi, C., Borodai, N., Brack, J., Brancus, I., Bretz, T., Bridgeman, A., Brogueira, P., Buchholz, P., Bueno, A., Buitink, S., Buscemi, M., Caballero Mora, K. S., Caccianiga, B., Caccianiga, L., Candusso, M., Caramete, L., Caruso, R., Castellina, A., Cataldi, G., Cazon, L., Cester, R., Chavez, A. G., Chiavassa, A., Chinellato, J. A., Chudoba, J., Cilmo, M., Clay, R. W., Cocciolo, G., Colalillo, Roberta, Coleman, A., Collica, L., Coluccia, M. R., Conceição, R., Contreras, F., Cooper, M. J., Cordier, A., Coutu, S., Covault, C. E., Cronin, J., Dallier, R., Daniel, B., Dasso, S., Daumiller, K., Dawson, B. R., De Almeida, R. M., De Jong, S. J., De Mauro, G., De Mello Neto, J. R. T., De Mitri, I., De Oliveira, J., De Souza, V., Del Peral, L., Deligny, O., Dhital, N., Di Giulio, C., Di Matteo, A., Diaz, J. C., Díaz Castro, M. L., Diogo, F., Dobrigkeit, C., Docters, W., D'Olivo, J. C., Dorofeev, A., Dorosti Hasankiadeh, Q., Dos Anjos, R. C., Dova, M. T., Ebr, J., Engel, R., Erdmann, M., Erfani, M., Escobar, C. O., Espadanal, J., Etchegoyen, A., Falcke, H., Fang, K., Farrar, G., Fauth, A. C., Fazzini, N., Ferguson, A. P., Fick, B., Figueira, J. M., Filevich, A., Filipčič, A., Fratu, O., Freire, M. M., Fujii, T., García, B., Garcia Gamez, D., Garcia Pinto, D., Gate, F., Gemmeke, H., Gherghel Lascu, A., Ghia, P. L., Giaccari, U., Giammarchi, M., Giller, M., Głas, D., Glaser, C., Glass, H., Golup, G., Gómez Berisso, M., Gómez Vitale, P. F., González, N., Gookin, B., Gordon, J., Gorgi, A., Gorham, P., Gouffon, P., Griffith, N., Grillo, A. F., Grubb, T. D., Guarino, Fausto, Guedes, G. P., Hampel, M. R., Hansen, P., Harari, D., Harrison, T. A., Hartmann, S., Harton, J. L., Haungs, A., Hebbeker, T., Heck, D., Heimann, P., Herve, A. E., Hill, G. C., Hojvat, C., Hollon, N., Holt, E., Homola, P., Hörandel, J. R., Horvath, P., Hrabovský, M., Huber, D., Huege, T., Insolia, A., Isar, P. G., Jandt, I., Jansen, S., Jarne, C., Johnsen, J. A., Josebachuili, M., Kääpä, A., Kambeitz, O., Kampert, K. H., Kasper, P., Katkov, I., Keilhauer, B., Kemp, E., Kieckhafer, R. M., Klages, H. O., Kleifges, M., Kleinfeller, J., Krause, R., Krohm, N., Kuempel, D., Kukec Mezek, G., Kunka, N., Kuotb Awad, A. W., Lahurd, D., Latronico, L., Lauer, R., Lauscher, M., Lautridou, P., Le Coz, S., Lebrun, D., Lebrun, P., Leigui De Oliveira, M. A., Letessier Selvon, A., Lhenry Yvon, I., Link, K., Lopes, L., López, R., López Casado, A., Louedec, K., Lucero, A., Malacari, M., Mallamaci, M., Maller, J., Mandat, D., Mantsch, P., Mariazzi, A. G., Marin, V., Mariş, I. C., Marsella, G., Martello, D., Martinez, H., Martínez Bravo, O., Martraire, D., Masías Meza, J. J., Mathes, H. J., Mathys, S., Matthews, J., Matthews, J. A. J., Matthiae, G., Maurizio, D., Mayotte, E., Mazur, P. O., Medina, C., Medina Tanco, G., Meissner, R., Mello, V. B. B., Melo, D., Menshikov, A., Messina, S., Micheletti, M. I., Middendorf, L., Minaya, I. A., Miramonti, L., Mitrica, B., Molina Bueno, L., Mollerach, S., Montanet, F., Morello, C., Mostafá, M., Moura, C. A., Muller, M. A., Müller, G., Müller, S., Navas, S., Necesal, P., Nellen, L., Nelles, A., Neuser, J., Nguyen, P. H., Niculescu Oglinzanu, M., Niechciol, M., Niemietz, L., Niggemann, T., Nitz, D., Nosek, D., Novotny, V., Nožka, L., Núñez, L. A., Ochilo, L., Oikonomou, F., Olinto, A., Pacheco, N., Pakk Selmi Dei, D., Palatka, M., Pallotta, J., Papenbreer, P., Parente, G., Parra, A., Paul, T., Pech, M., Pokala, J., Pelayo, R., Pepe, I. M., Perrone, L., Petermann, E., Peters, C., Petrera, S., Petrov, Y., Phuntsok, J., Piegaia, R., Pierog, T., Pieroni, P., Pimenta, M., Pirronello, V., Platino, M., Plum, M., Porcelli, A., Porowski, C., Prado, R. R., Privitera, P., Prouza, M., Quel, E. J., Querchfeld, S., Quinn, S., Rautenberg, J., Ravel, O., Ravignani, D., Reinert, D., Revenu, B., Ridky, J., Risse, M., Ristori, P., Rizi, V., Rodrigues De Carvalho, W., Rodriguez Rojo, J., Rodríguez Frías, M. D., Rogozin, D., Rosado, J., Roth, M., Roulet, E., Rovero, A. C., Saffi, S. J., Saftoiu, A., Salazar, H., Saleh, A., Salesa Greus, F., Salina, G., Sanabria Gomez, J. D., Sánchez, F., Sanchez Lucas, P., Santos, E., Santos, E. M., Sarazin, F., Sarkar, B., Sarmento, R., Sarmiento Cano, C., Sato, R., Scarso, C., Schauer, M., Scherini, V., Schieler, H., Schmidt, D., Scholten, O., Schoorlemmer, H., Schovánek, P., Schröder, F. G., Schulz, A., Schulz, J., Schumacher, J., Sciutto, S. J., Segreto, A., Settimo, M., Shadkam, A., Shellard, R. C., Sigl, G., Sima, O., Śmiałkowski, A., Šmída, R., Snow, G. R., Sommers, P., Sonntag, S., Sorokin, J., Squartini, R., Srivastava, Y. N., Stanca, D., Stanič, S., Stapleton, J., Stasielak, J., Stephan, M., Stutz, A., Suarez, F., Suarez Durán, M., Suomijärvi, T., Supanitsky, A. D., Sutherland, M. S., Swain, J., Szadkowski, Z., Taborda, O. A., Tapia, A., Tepe, A., Theodoro, V. M., Timmermans, C., Todero Peixoto, C. J., Toma, G., Tomankova, L., Tomé, B., Tonachini, A., Torralba Elipe, G., Torres Machado, D., Travnicek, P., Trini, M., Ulrich, R., Unger, M., Urban, M., Valdés Galicia, J. F., Valiño, I., Valore, Laura, Van Aar, G., Van Bodegom, P., Van Den Berg, A. M., Van Velzen, S., Van Vliet, A., Varela, E., Vargas Cárdenas, B., Varner, G., Vasquez, R., Vázquez, J. R., Vázquez, R. A., Veberič, D., Verzi, V., Vicha, J., Videla, M., Villaseñor, L., Vlcek, B., Vorobiov, S., Wahlberg, H., Wainberg, O., Walz, D., Watson, A. A., Weber, M., Weidenhaupt, K., Weindl, A., Welling, C., Werner, F., Widom, A., Wiencke, L., Wilczyński, H., Winchen, T., Wittkowski, D., Wundheiler, B., Wykes, S., Yang, L., Yapici, T., Yushkov, A., Zas, E., Zavrtanik, D., Zavrtanik, M., Zepeda, A., Zimmermann, B., Ziolkowski, M., Zuccarello, F., Laboratoire de Physique Nucléaire et de Hautes Énergies (LPNHE), Centre National de la Recherche Scientifique (CNRS)-Université Paris Diderot - Paris 7 (UPD7)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Pierre et Marie Curie - Paris 6 (UPMC), Laboratoire SUBATECH Nantes (SUBATECH), Centre National de la Recherche Scientifique (CNRS)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université de Nantes (UN)-Mines Nantes (Mines Nantes), Laboratoire de Physique Subatomique et de Cosmologie (LPSC), Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Centre National de la Recherche Scientifique (CNRS), Unité Scientifique de la Station de Nançay (USN), Centre National de la Recherche Scientifique (CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire des Sciences de l'Univers en région Centre (OSUC), Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université d'Orléans (UO)-Centre National de la Recherche Scientifique (CNRS)-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Université d'Orléans (UO)-Centre National de la Recherche Scientifique (CNRS)-Université d'Orléans (UO), Laboratoire de l'Accélérateur Linéaire (LAL), Centre National de la Recherche Scientifique (CNRS)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris-Sud - Paris 11 (UP11), Institut de Physique Nucléaire d'Orsay (IPNO), Pierre AUGER, ANR-11-IDEX-0004,SUPER,Sorbonne Universités à Paris pour l'Enseignement et la Recherche(2011), ANR-10-LABX-0063,ILP,Institute Lagrange of Paris(2010), European Project: 328826,EC:FP7:PEOPLE,FP7-PEOPLE-2012-IEF,AUGER2FUTURE(2013), Elementary Particle Physics, Physics, Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Université Paris Diderot - Paris 7 (UPD7)-Centre National de la Recherche Scientifique (CNRS), Mines Nantes (Mines Nantes)-Université de Nantes (UN)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Observatoire des Sciences de l'Univers en région Centre (OSUC), Université Paris sciences et lettres (PSL)-Université d'Orléans (UO)-Centre National de la Recherche Scientifique (CNRS), Université Paris-Sud - Paris 11 (UP11)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Ahn, E. . j., Albuquerque, I. . f. . m., Anastasi, G. . a., Badescu, A. . m., Beatty, J. . j., Becker, K. . h., Bellido, J. . a., Bertaina, M. . e., Biermann, P. . l., Blaess, S. . g., Bleve, Carla, Caballero Mora, K. . s., Chavez, A. . g., Chinellato, J. . a., Clay, R. . w., Colalillo, R., Coluccia, MARIA RITA, Cooper, M. . j., Covault, C. . e., Dawson, B. . r., de Almeida, R. . m., de Jong, S. . j., de Mello Neto, J. . r. . t., DE MITRI, Ivan, de Oliveira, J., de Souza, V., del Peral, L., Diaz, J. . c., Díaz Castro, M. . l., D’Olivo, J. . c., dos Anjos, R. . c., Dova, M. . t., Escobar, C. . o., Fauth, A. . c., Ferguson, A. . p., Figueira, J. . m., Freire, M. . m., Ghia, P. . l., Gómez Vitale, P. . f., Grillo, A. . f., Grubb, T. . d., Guarino, F., Guedes, G. . p., Hampel, M. . r., Harrison, T. . a., Harton, J. . l., Herve, A. . e., Hill, G. . c., Hörandel, J. . r., Isar, P. . g., Johnsen, J. . a., Kampert, K. . h., Kieckhafer, R. . m., Klages, H. . o., Kuotb Awad, A. . w., Leigui de Oliveira, M. . a., Mariazzi, A. . g., Mariş, I. . c., Marsella, Giovanni, Martello, Daniele, Masías Meza, J. . j., Mathes, H. . j., Matthews, J. . a. . j., Mazur, P. . o., Mello, V. . b. . b., Micheletti, M. . i., Minaya, I. . a., Moura, C. . a., Muller, M. . a., Nguyen, P. . h., Núñez, L. . a., Pȩkala, J., Pepe, I. . m., Perrone, Lorenzo, Prado, R. . r., Quel, E. . j., Rodrigues de Carvalho, W., Rodríguez Frías, M. . d., Rovero, A. . c., Saffi, S. . j., Sanabria Gomez, J. . d., Santos, E. . m., Schröder, F. . g., Sciutto, S. . j., Shellard, R. . c., Snow, G. . r., Srivastava, Y. . n., Supanitsky, A. . d., Sutherland, M. . s., Taborda, O. . a., Theodoro, V. . m., Todero Peixoto, C. . j., Valdés Galicia, J. . f., Valore, L., van Aar, G., van Bodegom, P., van den Berg, A. . m., van Velzen, S., van Vliet, A., Vázquez, J. . r., Vázquez, R. . a., Watson, A. . a., Research unit Astroparticle Physics, and Research unit Nuclear & Hadron Physics

Subjects
Cosmic ray showers, Astronomy, Ciencias Físicas, ULTRA HIGH ENERGY COSMIC RAYS, Astrophysics, 01 natural sciences, purl.org/becyt/ford/1 [https], ultra-high energy cosmic rays, extensive air showers, radio energy estimation, CODALEMA, Observatory, Radio detection, Physics, High Energy Astrophysical Phenomena (astro-ph.HE), Detector, Astrophysics::Instrumentation and Methods for Astrophysics, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Física nuclear, Astrophysics - High Energy Astrophysical Phenomena, Astrophysics - Instrumentation and Methods for Astrophysics, CIENCIAS NATURALES Y EXACTAS, EXTENSIVE AIR-SHOWERS, MONTE-CARLO SIMULATIONS, EMISSION, [PHYS.ASTR.HE]Physics [physics]/Astrophysics [astro-ph]/High Energy Astrophysical Phenomena [astro-ph.HE], Nuclear and High Energy Physics, EXTENSIVE AIR-SHOWERS, MONTE-CARLO SIMULATIONS, EMISSION, CODALEMA, COREAS, LOFAR, AIR SHOWERS, Astrophysics::High Energy Astrophysical Phenomena, FOS: Physical sciences, Cosmic ray, Astrophysics::Cosmology and Extragalactic Astrophysics, EXTENSIVE AIR-SHOWERS, RADIO EMISSION, 0103 physical sciences, High Energy Physics, 010306 general physics, Instrumentation and Methods for Astrophysics (astro-ph.IM), Cosmic rays, Pierre Auger Observatory, 010308 nuclear & particles physics, Radiant energy, Física, LOFAR, purl.org/becyt/ford/1.3 [https], ASTROFÍSICA, Computational physics, Astronomía, COREAS, Earth's magnetic field, Air shower, Experimental High Energy Physics, EMISSION, MONTE-CARLO SIMULATIONS
Abstract

The Auger Engineering Radio Array (AERA) is part of the Pierre Auger Observatory and is used to detect the radio emission of cosmic-ray air showers. These observations are compared to the data of the surface detector stations of the Observatory, which provide well-calibrated information on the cosmic-ray energies and arrival directions. The response of the radio stations in the 30-80 MHz regime has been thoroughly calibrated to enable the reconstruction of the incoming electric field. For the latter, the energy deposit per area is determined from the radio pulses at each observer position and is interpolated using a two-dimensional function that takes into account signal asymmetries due to interference between the geomagnetic and charge-excess emission components. The spatial integral over the signal distribution gives a direct measurement of the energy transferred from the primary cosmic ray into radio emission in the AERA frequency range. We measure 15.8 MeV of radiation energy for a 1 EeV air shower arriving perpendicularly to the geomagnetic field. This radiation energy - corrected for geometrical effects - is used as a cosmic-ray energy estimator. Performing an absolute energy calibration against the surface-detector information, we observe that this radio-energy estimator scales quadratically with the cosmic-ray energy as expected for coherent emission. We find an energy resolution of the radio reconstruction of 22% for the data set and 17% for a high-quality subset containing only events with at least five radio stations with signal., La lista completa de autores que integran el documento puede consultarse en el archivo, Instituto de Física La Plata

Published
2016
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34. Extracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomized controlled trial

Author

Federico, Del Castillo-González, Juan J, Ramos-Alvarez, Guillermo, Rodríguez-Fabián, José, González-Pérez, Elena, Jiménez-Herranz, and Enrique, Varela

Subjects
Adult, Male, Time Factors, Calcinosis, Middle Aged, High-Energy Shock Waves, Rotator Cuff, Treatment Outcome, Tendinopathy, Humans, Female, Prospective Studies, Therapeutic Irrigation, Ultrasonography, Interventional, Follow-Up Studies, Pain Measurement
Abstract

Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT).The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT.Prospective, randomized, controlled trial.Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013.This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment.Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P0.001 for each), but significantly more so by UGPL (P0.001).Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain.The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.

Published
2015

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