PAIN PRACTICE, Issue 4 2003
Interpretation, Management, Part 2: Examination
,,Abstract: Diagnosis, interpretation, and subsequent management of ankle/foot pathology can be challenging to clinicians. A sensitive and specific physical examination is the strategy of choice for diagnosing selected ankle/foot injuries and additional diagnostic procedures, at considerable cost, may not provide additional information for clinical diagnosis and management. Because of a distal location in the sclerotome and the reduced convergence of afferent signals from this region to the dorsal horn of the spinal cord, pain reference patterns are low and the localization of symptoms is trustworthy. Effective management of the painful ankle/foot is closely linked to a tissue-specific clinical examination. The examination of the ankle/foot should include passive and resistive tests that provide information regarding movement limitations and pain provocation. Special tests can augment the findings from the examination, suggesting compromises in the structural and functional integrity of the ankle/foot complex. The weight bearing function of the ankle/foot compounds the clinician's diagnostic picture, as limits and pain provocation are frequently produced only when the patient attempts to function in weight bearing. As a consequence, clinicians should consider this feature by implementing numerous weightbearing components in the diagnosis and management of ankle/foot afflictions. Limits in passive motion can be classified as either capsular or non-capsular patterns. Conversely, patients can present with ankle/foot pain that demonstrates no limitation of motion. Bursitis, tendopathy, compression neuropathy, and instability can produce ankle/foot pain that is challenging to diagnose, especially when they are the consequence of functional weight bearing. Numerous non-surgical measures can be implemented in treating the painful ankle/foot, reserving surgical interventions for those patients who are resistant to conservative care.,, [source]

WHO'S DRAGGING THEIR FEET?

JOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2003
HUSBANDS AND WIVES SEEKING MARITAL THERAPY
Despite its demonstrated efficacy, marital therapy's impact has been limited by couples' general reluctance to seek help unitl their problems become severe. To understand this delay, 147 married couples (294 individuals) in the process of seeking marital therapy were surveyed. Using multilevel confirmatory factor analysis, three relatively independent steps (problem recognition, treatment consideration, and treatment seeking) were identified. On average, wives were rated as completing all three steps before their husbands. Gender-role orientation, demographics, relationship satisfaction, and specific relationship problems (especially husbands' dissatisfaction with sex) were also predictive of the steps toward therapy. Implications for marital therapy are discussed. [source]

THE PREVALENCE OF AT-RISK FOOT IN PATIENTS WITH DIABETES MELLITUS, PATIENTS WITHOUT DIABETES MELLITUS WITH NEUROLOGICAL DISORDERS, AND SUBJECTS WITHOUT KNOWN DIABETES MELLITUS OR LOWER LIMB SENSORY LOSS

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2008
Zoltan Pataky MD
No abstract is available for this article. [source]

PAUL RICOEUR AT THE FOOT OF THE CROSS: NARRATIVE IDENTITY AND THE RESURRECTION OF THE BODY

MODERN THEOLOGY, Issue 4 2009
MICHAEL W. DeLASHMUTT
This article attempts to reconcile the holistically understood and embodied philosophical anthropology indicated by Paul Ricoeur's concept of "narrative identity" with Christian personal eschatology, as realized in the bodily resurrection of Jesus of Nazareth. Narrative identity resonates with spiritual autobiography in the Christian tradition,evinced here by a brief comparison with the confessed self of St Augustine of Hippo,and offers to theology a means of explaining identity in a way which: 1) places care for the other firmly within the construction of one's sense of self; 2) accounts for radical change over time and 3) hints at the possibility of the in-breaking of the infinite into the finite. In this article I will contend that narrative identity provides theology with an exemplary means of framing selfhood which is ultimately congruent with the orthodox Christian belief in the resurrection of the body. [source]

Double-Blind, Randomized, Placebo-Controlled, Dose-Response Study of the Safety and Efficacy of Botulinum Toxin Type A in Subjects with Crow's Feet

DERMATOLOGIC SURGERY, Issue 3 2005
Nicholas J. Lowe MD
Background Published evidence suggests that botulinum toxin type A (BTX-A) is an effective treatment for crow's feet. However, few dose-ranging studies have been performed. Objectives To assess the safety and efficacy of a single treatment with one of four doses of BTX-A (Botox/Vistabel, Allergan Inc) compared with placebo for the improvement of crow's feet. Methods Subjects received a single bilateral treatment of 18, 12, 6, or 3 U of BTX-A or placebo injected into the lateral aspect of the orbicularis oculi muscle (parallel-group, double,blind design). Investigators and subjects rated crow's feet severity at maximum smile on day 7 and at 30-day intervals from days 30 to 180. Results As observed by both investigators and subjects, all doses of BTX-A resulted in improvements in crow's feet severity when compared with placebo. A dose-dependent treatment effect for efficacy was observed, with higher doses having an increased magnitude and duration of effect. However, a clear differentiation between the 18 U and 12 U doses was not apparent. Few adverse events were reported, with no statistically significant differences between BTX-A and placebo in the incidence of subjects experiencing adverse events. Conclusion BTX-A is safe and effective in decreasing the severity of crow's feet, with 12 U per side suggested as the most appropriate dose. THIS STUDY WAS FUNDED BY ALLERGAN, WHICH WAS ALSO INVOLVED IN THE DESIGN AND CONDUCT OF THE STUDY; COLLECTION, MANAGEMENT, ANALYSIS, AND INTERPRETATION OF THE DATA; AND PREPARATION, REVIEW, AND APPROVAL OF THE MANUSCRIPT. DRS. LOWE AND FRACZEK ARE PAID CONSULTANTS FOR ALLERGAN, DRS. KUMAR AND EADIE ARE EMPLOYEES OF ALLERGAN, AND DRS. LOWE AND KUMAR HOLD STOCK OPTIONS. [source]

The Wisdom of Their Feet: Meaningful Dance in Milton and the Stuart Masque

ENGLISH LITERARY RENAISSANCE, Issue 1 2007
Blair Hoxby
First page of article [source]

Abnormal radiographic findings in 865 French Standardbred trotters and their relationship to racing performance

EQUINE VETERINARY JOURNAL, Issue S36 2006
A. COUROUCÉ-MALBLANC
Summary Reason for performing study: Developmental orthopaedic lesions are commonly found in French Standardbred horses. One of the main questions asked by trainers, owners and veterinarians is what impact these lesions have on the racing career and racing performances of horses. Objectives: To study the prevalence and distribution of developmental orthopaedic lesions in young French Standardbred trotters and to relate them to racing performance. Methods: Feet, fetlock, tarsus and stifle regions were radiographed in 865 two-year-old French Standardbred trotters. Abnormal radiographic findings (ARF) were evaluated for 12 anatomical sites identified in these areas, and a severity index given. Performance criteria were: success in qualification for racing, maximal and mean index of trot (ITR), an annual index calculated on the basis of the logarithm of earnings per starts, total earnings at 5 years, placed races compared to starts and longevity of the racing career. Analysis of variance were calculated to study the relationships between racing performance and the number of ARF or the severity index. Results: A total of 363 horses (42.0%) showed ARF. Prevalence of ARF was 18.3% in the plantar aspect of the hind fetlock and 10.6% in the proximal tarsus. Among the total population, 833 horses were considered for performance evaluation, 478 of them were qualified for racing. The number of ARF significantly affected racing longevity. However, the number of ARF did not affect performance categories according to maximal ITR. Concerning distribution of ARF, the number of plantar lesions in the fetlock significantly affected mean ITR. The index of severity did not provide more information for prognosis than the number of ARF. Conclusion: Longevity is the only criteria affected by ARF. When evaluating different sites, only the plantar fetlock region showed a significant relationship with mean ITR. Potential relevance: Number of ARF and radiographic score (RS) affect mean ITR and longevity but do not affect maximal ITR. A horse with a good racing ability will be a good performer but might have a racing career shortened because of orthopaedic problems in relation to developmental orthopaedic lesions. [source]

The Law beneath Rights' Feet.

EUROPEAN LAW JOURNAL, Issue 4 2002
Preliminary Investigation for a Study of the Charter of Fundamental Rights of the European Union
This article is meant as a philosophical preface to the study of the European Charter of Fundamental Rights. In particular, attention is focused on a particular legal positivistic reading of legislation as a political moment which would not allow for transcendental rights. This view is rejected by pointing out how much the notion of citizenship and consequently of fundamental rights is central for the democratic, and in some case even for the legal positivistic, celebration of legislation. In the last section a few conclusions are drawn as far as the scope of the Charter is concerned. In particular, any interpretation of it in the framework of the so,called regulatory paradigm (which gives up the democratic connection between deliberation and representation) is considered incoherent and self,defeating. In addition the principle of indivisibility of rights is evoked in defence of the validity of social rights within the Charter. [source]

Long-Term Outcomes after Drug-Eluting Stent Implantation: Get Your Feet Wet in the Real-World

JOURNAL OF INTERVENTIONAL CARDIOLOGY, Issue 2 2010
STÉPHANE COOK M.D.
(J Interven Cardiol 2010;23:176-178) [source]

Dermoscopy Identifies Histopathologically Indiscernible Malignant Lesion of Atypical Melanosis of the Foot, an Early Lesion of Acral Lentiginous Melanoma In Situ

DERMATOLOGIC SURGERY, Issue 7 2008
HSIU-HUI CHIU MD
First page of article [source]

Recurrent Clear Cell Hidradenoma of the Foot

DERMATOLOGIC SURGERY, Issue 7 2000
Ryan Will BA
Background. Clear cell hidradenoma is an uncommon neoplasm without established optimal treatment. Objective. Using Mohs micrographic surgery, a recurrent clear cell hidradenoma of the right foot was treated. Methods. Case report and literature review. Results. Two stages of Mohs micrographic surgery and subsequent repair successfully treated the recurrent clear cell hidradenoma. No recurrence of the neoplasm has been observed at 11 months follow-up. Conclusion Optimal treatment of clear cell hidradenoma is unestablished. Adequate primary local excision is essential. Mohs micrographic surgery should be considered for treatment, especially on recurrent tumors in critical locations. [source]

Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment,

DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue S1 2008
A. R. Berendt
Abstract The International Working Group on the Diabetic Foot appointed an expert panel to provide evidence-based guidance on the management of osteomyelitis in the diabetic foot. Initially, the panel formulated a consensus scheme for the diagnosis of diabetic foot osteomyelitis (DFO) for research purposes, and undertook a systematic review of the evidence relating to treatment. The consensus diagnostic scheme was based on expert opinion; the systematic review was based on a search for reports of the effectiveness of treatment for DFO published prior to December 2006. The panel reached consensus on a proposed scheme that assesses the probability of DFO, based on clinical findings and the results of imaging and laboratory investigations. The literature review identified 1168 papers, 19 of which fulfilled criteria for detailed data extraction. No significant differences in outcome were associated with any particular treatment strategy. There was no evidence that surgical debridement of the infected bone is routinely necessary. Culture and sensitivity of isolates from bone biopsy may assist in selecting properly targeted antibiotic regimens, but empirical regimens should include agents active against staphylococci, administered either intravenously or orally (with a highly bioavailable agent). There are no data to support the superiority of any particular route of delivery of systemic antibiotics or to inform the optimal duration of antibiotic therapy. No available evidence supports the use of any adjunctive therapies, such as hyperbaric oxygen, granulocyte-colony stimulating factor or larvae. We have proposed a scheme for diagnosing DFO for research purposes. Data to inform treatment choices in DFO are limited, and further research is urgently needed. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Diagnosing and treating diabetic foot infections

DIABETES/METABOLISM: RESEARCH AND REVIEWS, Issue S1 2004
Benjamin A. Lipsky
Abstract Foot infections are a common, complex and costly complication of diabetes. We have made considerable progress in establishing consensus definitions for defining infection. Similarly, we have learned much about the appropriate ways to diagnose both soft tissue and bone infections. Accompanying these advances have been improvements in our knowledge of the proper approaches to antibiotic (and surgical) therapy for diabetic foot infections. Furthermore, investigators have explored the value of various adjunctive therapies, especially granulocyte colony stimulating factors and hyperbaric oxygen, for improving outcomes. This paper presents a summary of a minisymposium on infection of the diabetic foot that was held at the fourth International Symposium on the Diabetic Foot, in Noordwijkerhout, The Netherlands. Crown copyright 2004. Reproduced with the permission of Her Majesty's Stationery Office. Published by John Wiley & Sons, Ltd. [source]

Diabetic Foot,A Clinical Atlas

DIABETIC MEDICINE, Issue 6 2005
N. Creagh
No abstract is available for this article. [source]

Update on the Diabetic Foot from Malvern Foot Conference 2002

DIABETIC MEDICINE, Issue 3 2003
C. N. Dang
No abstract is available for this article. [source]

CONSTRUCTING, VISUALIZING, AND ANALYZING A DIGITAL FOOTPRINT,

GEOGRAPHICAL REVIEW, Issue 3 2007
STEPHEN D. WEAVER
ABSTRACT. Herein, we discuss the desire for new technology, the need for security, and the right to privacy; in doing so, we argue that each of these concerns comprises an important, tripartite debate. To highlight the complexities in this problem, we define our notion of a "digital footprint" and introduce Big Foot,specialized software created for the research described here to facilitate visualization and exploration of the data that comprise Stephen Weaver's personal digital footprint. Using Big Foot we demonstrate how multiple digital personae can be created from the data that constitute one unique digital footprint and provide a methodology for understanding the good and bad impacts that new technologies may have on future societies. One of the primary arguments of this work is that the debate,though not formally recognized,is currently before contemporary society and must receive sufficient attention. [source]

Cahn on Foot on Happiness

JOURNAL OF SOCIAL PHILOSOPHY, Issue 1 2004
Fred Feldman
First page of article [source]

Diagnosis and Treatment of Heel Pain

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 11 2003
ANP-C, FAANP, Mary Jo Goolsby EdD
The American College of Foot and Ankle Surgeons (ACFAC) clinical practice guideline (CPG) summarizes the literature on the assessment and diagnosis of heel pain. The framework classifies heel pain depending on whether the cause is mechanical, neurological, arthritic, traumatic, or from another origin. Treatment strategies are included for the most common form of heel pain that are caused by mechanical problems. [source]

Starting Out on the Right Foot: Negotiation Schemas When Cultures Collide

NEGOTIATION AND CONFLICT MANAGEMENT RESEARCH, Issue 2 2009
Wendi L. Adair
Abstract We investigate the intercultural negotiation schemas of 100 experienced Japanese and U.S. negotiators. Specifically, we examine the assumptions negotiators make about appropriate behavior when primed to negotiate with an intercultural (vs. intracultural) counterpart. We find that intercultural negotiation schemas clash on six of nine elements, meaning U.S. and Japanese negotiators have significantly different expectations about what it is like to negotiate with the other. This clash occurs not because negotiators stay anchored on their own cultural assumptions about negotiating, but rather because they try to adjust to their counterpart's cultural assumptions about negotiating. But negotiators adjust their schemas by thinking about how their counterpart negotiates in an intracultural rather than intercultural setting. That is, they fail to account for the fact that their counterpart would also adjust expectations for the intercultural context. The phenomenon we uncover is one of schematic overcompensation, whereby negotiators' intercultural schemas do not match because each negotiator expects the encounter to be just like the counterpart's within-culture negotiations. Our theory of schematic overcompensation receives some support, and negotiators' perceived knowledge and experience with the other culture somewhat attenuates the phenomenon. Implications for negotiator cognition, intercultural negotiation, and global management are discussed. [source]

Long term efficacy of minimal incision osteotomy for hallux abducto valgus

ORTHOPAEDIC SURGERY, Issue 3 2010
Wei-dong Sun MD
Objective:, To observe and evaluate the long-term results of minimal incision osteotomy for hallux abducto valgus. Methods:, From February 1995 to May 1999, 372 cases (705 feet) with hallux abducto valgus were treated with minimal incision osteotomy. Seventy-nine patients (150 feet) were followed up for more than five years (mean 7.5; range, 5.3,13.2 years) after surgery. The preoperative and postoperative hallux abducto valgus angles (HVA), intermetatarsal angles (IMA), tibial sesamoid position (TSP), American Orthopaedic Foot And Ankle Society (AOFAS) score, range of movement of the first metatarsophalangeal joint and lateral metatarsalgia were observed, measured and evaluated. Results:, Based on clinic curative effect evaluation criterion, 56 feet (37.3%) were excellent, 88 feet (58.7%) good, 6 feet (4.0%) fair. The postoperative mean AOFAS score was 84.20 ± 4.32 points. The mean HVA decreased from 33.28o to 12.31o and the mean IMA1-2 from 11.75o to 6.80o. The TSP was corrected from an average preoperative grade of 4.29 to a grade of 3.07 by final follow-up. There was no nonunion or delayed union, no avascular necrosis, no infection, and no hallux varus. Numbness in the big toe was found in 4 feet (2.7%). The range of motion of the first metatarsophalangeal joint decreased from 70.20o to 69.53o. Of 97 feet (64.7%) with pre-operative 2,5 metatarsalgia, this had disappeared in 35 feet, improved in 54 feet and was aggravated in 8 feet postoperatively. Conclusion:, Minimal incision osteotomy is a simple and reliable technique for treating hallux abducto valgus with minimal complications. [source]

Teaching & Learning Guide for: Moral Realism and Moral Nonnaturalism

PHILOSOPHY COMPASS (ELECTRONIC), Issue 3 2008
Stephen Finlay
Authors' Introduction Metaethics is a perennially popular subject, but one that can be challenging to study and teach. As it consists in an array of questions about ethics, it is really a mix of (at least) applied metaphysics, epistemology, philosophy of language, and mind. The seminal texts therefore arise out of, and often assume competence with, a variety of different literatures. It can be taught thematically, but this sample syllabus offers a dialectical approach, focused on metaphysical debate over moral realism, which spans the century of debate launched and framed by G. E. Moore's Principia Ethica. The territory and literature are, however, vast. So, this syllabus is highly selective. A thorough metaethics course might also include more topical examination of moral supervenience, moral motivation, moral epistemology, and the rational authority of morality. Authors Recommend: Alexander Miller, An Introduction to Contemporary Metaethics (Cambridge: Polity Press, 2003). This is one of the few clear, accessible, and comprehensive surveys of the subject, written by someone sympathetic with moral naturalism. David Brink, Moral Realism and the Foundations of Ethics (Cambridge: Cambridge University Press, 1989). Brink rehabilitates naturalism about moral facts by employing a causal semantics and natural kinds model of moral thought and discourse. Michael Smith, The Moral Problem (Oxford: Blackwell, 1994). Smith's book frames the debate as driven by a tension between the objectivity of morality and its practical role, offering a solution in terms of a response-dependent account of practical rationality. Gilbert Harman and Judith Jarvis Thomson, Moral Relativism & Moral Objectivity (Cambridge, MA: Blackwell, 1996). Harman argues against the objectivity of moral value, while Thomson defends it. Each then responds to the other. Frank Jackson, From Metaphysics to Ethics (Oxford: Clarendon Press, 1998). Jackson argues that reductive conceptual analysis is possible in ethics, offering a unique naturalistic account of moral properties and facts. Mark Timmons, Morality without Foundations (Oxford: Oxford University Press, 1999). Timmons distinguishes moral cognitivism from moral realism, interpreting moral judgments as beliefs that have cognitive content but do not describe moral reality. He also provides a particularly illuminating discussion of nonanalytic naturalism. Philippa Foot, Natural Goodness (New York, NY: Oxford University Press, 2001). A Neo-Aristotelian perspective: moral facts are natural facts about the proper functioning of human beings. Russ Shafer-Landau, Moral Realism: A Defence (New York, NY: Oxford University Press, 2003). In this recent defense of a Moorean, nonnaturalist position, Shafer-Landau engages rival positions in a remarkably thorough manner. Terence Cuneo, The Normative Web (New York, NY: Oxford University Press, 2007). Cuneo argues for a robust version of moral realism, developing a parity argument based on the similarities between epistemic and moral facts. Mark Schroeder, Slaves of the Passions (New York, NY: Oxford University Press, 2007). Schroeder defends a reductive form of naturalism in the tradition of Hume, identifying moral and normative facts with natural facts about agents' desires. Online Materials: PEA Soup: http://peasoup.typepad.com A blog devoted to philosophy, ethics, and academia. Its contributors include many active and prominent metaethicists, who regularly post about the moral realism and naturalism debates. Metaethics Bibliography: http://www.lenmanethicsbibliography.group.shef.ac.uk/Bib.htm Maintained by James Lenman, professor of philosophy at the University of Sheffield, this online resource provides a selective list of published research in metaethics. Stanford Encyclopedia of Philosophy: http://plato.stanford.edu See especially the entries under ,metaethics'. Sample Syllabus: Topics for Lecture & Discussion Note: unless indicated otherwise, all the readings are found in R. Shafer-Landau and T. Cuneo, eds., Foundations of Ethics: An Anthology (Malden: Blackwell, 2007). (FE) Week 1: Realism I (Classic Nonnaturalism) G. E. Moore, Principia Ethica, 2nd ed. (FE ch. 35). W. K. Frankena, ,The Naturalistic Fallacy,'Mind 48 (1939): 464,77. S. Finlay, ,Four Faces of Moral Realism', Philosophy Compass 2/6 (2007): 820,49 [DOI: 10.1111/j.1747-9991.2007.00100.x]. Week 2: Antirealism I (Classic Expressivism) A. J. Ayer, ,Critique of Ethics and Theology' (1952) (FE ch. 3). C. Stevenson, ,The Nature of Ethical Disagreement' (1963) (FE ch. 28). Week 3: Antirealism II (Error Theory) J. L. Mackie, ,The Subjectivity of Values' (1977) (FE ch. 1). R. Joyce, Excerpt from The Myth of Morality (2001) (FE ch. 2). Week 4: Realism II (Nonanalytic Naturalism) R. Boyd, ,How to be a Moral Realist' (1988) (FE ch. 13). P. Railton, ,Moral Realism' (1986) (FE ch. 14). T. Horgan and M. Timmons, ,New Wave Moral Realism Meets Moral Twin Earth' (1991) (FE ch. 38). Week 5: Antirealism III (Contemporary Expressivism) A. Gibbard, ,The Reasons of a Living Being' (2002) (FE ch. 6). S. Blackburn, ,How To Be an Ethical Anti-Realist' (1993) (FE ch. 4). T. Horgan and M. Timmons, ,Nondescriptivist Cognitivism' (2000) (FE ch. 5). W. Sinnott-Armstrong, ,Expressivism and Embedding' (2000) (FE ch. 37). Week 6: Realism III (Sensibility Theory) J. McDowell, ,Values and Secondary Qualities' (1985) (FE ch. 11). D. Wiggins, ,A Sensible Subjectivism' (1991) (FE ch. 12). Week 7: Realism IV (Subjectivism) & Antirealism IV (Constructivism) R. Firth, ,Ethical Absolutism and the Ideal Observer' (1952) (FE ch. 9). G. Harman, ,Moral Relativism Defended' (1975) (FE ch. 7). C. Korsgaard, ,The Authority of Reflection' (1996) (FE ch. 8). Week 8: Realism V (Contemporary Nonnaturalism) R. Shafer-Landau, ,Ethics as Philosophy' (2006) (FE ch. 16). T. M. Scanlon, What We Owe to Each Other (Cambridge, MA: Harvard University Press, 1998), ch. 1. T, Cuneo, ,Recent Faces of Moral Nonnaturalism', Philosophy Compass 2/6 (2007): 850,79 [DOI: 10.1111/j.1747-9991.2007.00102.x]. [source]

Norms and Human Rights in International Relations

POLITICAL STUDIES REVIEW, Issue 1 2006
Ty Solomon
The three volumes on human rights reviewed here constitute the first wave of in-depth case studies of human rights from a constructivist approach in international relations. By acknowledging the theoretical contributions of these works, identifying their shortcomings and engaging in critiques of the authors' conceptions of identity and norms, this article provides direction for future studies on human rights through the constructivist framework. Foot, R. (2000) Rights Beyond Borders: The Global Community and the Struggle Over Human Rights in China. Oxford: Oxford University Press. Risse, T., Ropp, S. C. and Sikkink, K. (eds) (1999) The Power of Human Rights: International Norms and Domestic Change. Cambridge: Cambridge University Press. Thomas, D. C. (2001) The Helsinki Effect: International Norms, Human Rights, and the Demise of Communism. Princeton NJ: Princeton University Press. [source]

WHAT IS NATURAL ABOUT FOOT'S ETHICAL NATURALISM?

RATIO, Issue 3 2009
John Hacker-Wright
Philippa Foot's Natural Goodness is in the midst of a cool reception. It appears that this is due to the fact that Foot's naturalism draws on a picture of the biological world at odds with the view embraced by most scientists and philosophers. Foot's readers commonly assume that the account of the biological world that she must want to adhere to, and that she nevertheless mistakenly departs from, is the account offered by contemporary neo-Darwinian biological sciences. But as is evident in her notion of function, Foot does not employ an evolutionary view of the biological world. I will attempt to show, first, that it is for good reason that Foot is not operating with an evolutionary view of function; her views do not aim to unseat evolutionary views of function, but instead simply have quite different theoretical goals. Second, I aim to underline the importance to Foot's naturalism of the fact that we are practically reasoning creatures. The profundity of Foot's ethical naturalism rests in how she approaches our nature as practically reasoning creatures. In this aspect of Foot's thought, there is a significant Kantian strain that is surprising to find in someone who calls herself an ethical naturalist.1 [source]

Measuring Quality of Life in Stroke Subjects Receiving an Implanted Neural Prosthesis for Drop Foot

ARTIFICIAL ORGANS, Issue 5 2010
Anke I. Kottink
Abstract The aim was to determine if the treatment of a drop foot by means of an implantable two-channel peroneal nerve stimulator improves health-related quality of life (HRQoL). All subjects were measured at baseline and after a follow-up period of 12 and 26 weeks. Twenty-nine stroke survivors with chronic hemiplegia with drop foot who fulfilled the predefined inclusion and exclusion criteria were included in the present randomized controlled trial. The intervention group received an implantable two-channel peroneal nerve stimulator for correction of their drop foot. The control group continued using their conventional walking device, consisting of an ankle-foot orthosis, orthopedic shoes, or no device. HRQoL was assessed in two different ways: (i) by taking descriptive measures, that is, the Short Form-36 (SF-36; generic measure) and the Disability Impact Profile (DIP; specific measure); and (ii) by obtaining preference-based utilities both measured with the time trade-off (direct way) and by calculating them from the EuroQol (EQ-5D) and SF-36. A significant positive effect of the implantable device was found on the physical functioning domain, the general health domain, and the physical component summary score of the SF-36. For the DIP, a significant improvement was found on the domains mobility, self-care, and psychological status in the intervention group. Regarding the preference-based utility measures, a significant effect was found for the utility index calculated from the EQ-5D. The implantable two-channel peroneal nerve stimulator seems to be efficient to improve HRQoL, mainly the domains related to physical functioning. A relation was present between the utility indexes calculated from the EQ-5D and SF-36. [source]

Foot and Mouth disease hits both Japan and South Korea world watch

AUSTRALIAN VETERINARY JOURNAL, Issue 5 2000
Gardner Murray
No abstract is available for this article. [source]

Diagnosis and Management of the Painful Ankle/Foot.

Development of a gait rehabilitation system using a locomotion interface

COMPUTER ANIMATION AND VIRTUAL WORLDS (PREV: JNL OF VISUALISATION & COMPUTER ANIMATION), Issue 5 2003
Hiroaki Yano
Abstract A locomotion interface (LI) is a piece of equipment that can give a user the sense that he/she is walking while his/her actual position remains localized in the real world. We developed an LI system (GaitMaster2) that has two footpads, which can move to represent a virtual terrain for each user's foot. In this research, we applied our LI to gait rehabilitation. The footpads on our LI follow a pre-recorded motion sequence to move the user's feet. We conducted evaluation tests with the assistance of hemiplegic patients. The effectiveness of our system was verified through EMG, video analysis and the measurement of physical values such as average velocity. Copyright © 2003 John Wiley & Sons, Ltd. [source]

Generating Animatable 3D Virtual Humans from Photographs

COMPUTER GRAPHICS FORUM, Issue 3 2000
WonSook Lee
We present an easy, practical and efficient full body cloning methodology. This system utilizes photos taken from the front, side and back of a person in any given imaging environment without requiring a special background or a controlled illuminating condition. A seamless generic body specified in the VRML H-Anim 1.1 format is used to generate an individualized virtual human. The system is composed of two major components: face-cloning and body-cloning. The face-cloning component uses feature points on front and side images and then applies DFFD for shape modification. Next a fully automatic seamless texture mapping is generated for 360° coloring on a 3D polygonal model. The body-cloning component has two steps: (i feature points specification, which enables automatic silhouette detection in an arbitrary background (ii two-stage body modification by using feature points and body silhouette respectively. The final integrated human model has photo-realistic animatable face, hands, feet and body. The result can be visualized in any VRML compliant browser. [source]

FS01.2 Contact dermatitis to disperse blue 106 in Portugal

CONTACT DERMATITIS, Issue 3 2004
Francisco M Brandao
Disperse blue 106 is one of the most important allergenic textile dyes. We reviewed all the patients that proved to be allergic to this dye, in 10 contact clinics, in Portugal, from 01/2000 to 06/2003. In the first 2 years disperse blue 106 was only tested in suspected cases, while in 2002/2003 it was routinely tested in our standard series. A total of 8957 patients (2797M + 6160F) were tested; fifty five patients (17M + 38F)(0.6%) were allergic to the dye, with a significant difference in incidence between the 2 periods (0.2 to 0.9%); a current relevance was found in 38 (69%) patients. In 5 patients the dermatitis was considered occupational. The main localizations were the axillae (25p), the antecubital fossae and the face (13p each), the neck (11p), the feet (8p), the hands and then trunk (7p each). Thirty six out of 44 patients (80%) that were tested with disperse blue 124 were allergic to this dye. Simultaneous reactions to PPDA and to fragrance mix were observed in 12 and 11 patients, respectively. Allergy to other dyes was found in 15 patients. Blouses and skirts were the main offending garments that induced contact allergy. Although both disperse blue 106 and 124 have been reported as frequent sensitizers, it proved not to be such an important allergen in Portugal. However, if tested routinely it can pick up some unexpected relevant allergic patients. [source]

Ice Minimizes Discomfort Associated with Injection of Botulinum Toxin Type A for the Treatment of Palmar and Plantar Hyperhidrosis

DERMATOLOGIC SURGERY, Issue 2007
KEVIN C. SMITH MD
BACKGROUND The value of botulinum toxin type A (BTX-A) for treatment of palmar and plantar hyperhidrosis (HH) has been limited by injection pain, which in the past has generally required administration of a nerve block. We describe the successful use of ice applied to the intended injection point followed immediately by application of either ice or vibration to skin adjacent to the injection point to reduce discomfort associated with injection of BTX-A for the treatment of palmar and plantar HH. RESULTS During needle insertion and injection of BTX-A, both the application of ice to the intended injection point followed by application of ice adjacent to the injection point (ice+ice) and the application of ice to the intended injection point followed by application of vibration adjacent to the injection point have been preferred by our patients to nerve block. These two techniques allow efficient treatment of both hands and/or both feet in a single session. CONCLUSION By eliminating the need for nerve blocks, the techniques described here will enlarge the pool of physicians who can administer BTX-A for palmar and plantar HH, and will enlarge the pool of patients who are willing to have this treatment. [source]