Clinimetrics in rehabilitation medicine: current issues in developing and applying measurement instruments 1

Clinimetrics in rehabilitation medicine, i.e. the field of developing, evaluating and applying measurement instruments, has undergone considerable progress. Despite this progress, however, several issues remain. These include: (i) selection of an instrument out of the wide range available; (ii) using an instrument in a variety of diagnostic groups; (iii) using an instrument in individual patients, as opposed to a group of patients; and (iv) the use of instruments in clinical practice. This paper reviews these issues, as well as current attempts at resolving them. Illustrative examples are given. It is concluded that solutions seem to be available, but considerable research effort is required to make these a reality. Clinimetrics in rehabilitation medicine remains a field with challenging opportunities for researc

Tectonically controlled sedimentation: impact on sediment supply and basin evolution of the Kashafrud Formation (Middle Jurassic, Kopeh-Dagh Basin, northeast Iran)

peer reviewedThe Kashafrud Formation was deposited in the extensional Kopeh-Dagh Basin during the Late Bajocian to Bathonian (Middle Jurassic) and is potentially the most important siliciclastic unit from NE Iran for petroleum geology. This extensional setting allowed the accumulation of about 1,700 m of siliciclastic sediments during a limited period of time (Upper Bajocian–Bathonian). Here, we present a detailed facies analysis combined with magnetic susceptibility (MS) results focusing on the exceptional record of the Pol-e-Gazi section in the southeastern part of the basin. MS is classically interpreted as related to the amount of detrital input. The amount of these detrital inputs and then the MS being classically influenced by sea-level changes, climate changes and tectonic activity. Facies analysis reveals that the studied rocks were deposited in shallow marine, slope to pro-delta settings. A major transgressive–regressive cycle is recorded in this formation, including fluvial-dominated delta to turbiditic pro-delta settings (transgressive phase), followed by siliciclastic to mixed siliciclastic and carbonate shoreface rocks (regressive phase). During the transgressive phase, hyperpycnal currents were feeding the basin. These hyperpycnal currents are interpreted as related to important tectonic variations, in relation to significant uplift of the hinterland during opening of the basin. This tectonic activity was responsible for stronger erosion, providing a higher amount of siliciclastic input into the basin, leading to a high MS signal. During the regressive phase, the tectonic activity strongly decreased. Furthermore, the depositional setting changed to a wave- to tide-dominated, mixed carbonate–siliciclastic setting. Because of the absence of strong tectonic variations, bulk MS was controlled by other factors such as sea-level and climatic changes. Fluctuations in carbonate production, possibly related to sea-level variations, influenced the MS of the siliciclastic/carbonate cycles. Carbonate intervals are characterized by a strong decrease of MS values indicates a gradual reduction of detrital influx. Therefore, the intensity of tectonic movement is thought to be the dominant factor in controlling sediment supply, changes in accommodation space and modes of deposition throughout the Middle Jurassic sedimentary succession in the Pol-e-Gazi section and possibly in the Kopeh-Dagh Basin in general

Insight into the development of a carbonate platform through a multi-disciplinary approach - A case study from the Upper Devonian slope deposits of Mount Freikofel (Carnic Alps, Austria/Italy)

The development and behavior of Million year-scaled depositional sequences recorded within Palaeozoic carbonate platform has remained poorly examined. Therefore, the understanding of palaeoenvironmental changes that occur in geological past is still limited. We herein undertake a multi-disciplinary approach (sedimentology, conodont biostratigraphy, magnetic susceptibility and geochemistry) of a long-term succession in the Carnic Alps which offers new insights into the peculiar evolution of one of the best example of Palaeozoic carbonate platform in Europe. The Freikofel section, located in the central part of the Carnic Alps represents an outstanding succession in a fore-reef setting, extending from the latest Givetian (indet. falsiovalis conodont Zones) to the early Famennian (Lower crepida conodont Zone). Sedimentological analysis allowed to propose a sedimentary model dominated by distal slope and fore-reef slope deposits. The most distal setting is characterized by an autochthonous pelagic sedimentation showing local occurrence of thin-bedded turbiditic deposits. In the fore-reef slope, in a more proximal setting, there is an accumulation of various autochthonous and allochthonous fine- to coarse-grained sediments originated from the interplay of gravity-flow currents derived from the shallow-water and deeper-water area. The temporal evolution of microfacies in the Freikofel section evolves in two main steps corresponding to the Freikofel (Unit 1) and the Pal (Unit 2) Limestones. Distal slope to fore-reef lithologies and associate changes are from base to top of the section: (U1) thick bedded litho- and bioclastic breccia beds with local fining upward sequence and fine-grained mudstone intercalations corresponding, in the fore-reef setting, to the dismantlement of the Eifelian – Frasnian carbonate platform during the early to late Frasnian time (falsiovalis to rhenana superzones) with one of the causes being the Late Givetian major rift pulse; (U2) occurrence of thin-bedded red nodular and cephalopod-bearing limestones with local lithoclastic grainstone intercalations corresponding to a significant deepening of the area and the progressive withdrawal of sedimentary influxes toward the basin, in relation with late Frasnian sea-level rise. Magnetic susceptibility and geochemical analyses were also performed along the Freikofel section and demonstrate the inherent-parallel link existing between variation in magnetic susceptibility values and proxy for terrestrial input. Interpretation of magnetic susceptibility in term of palaeoenvironmental processes reflect that even though distality remains the major parameter influencing magnetic susceptibility values, carbonate production and water agitation also play an important role.Grants IGCP 580 and NAP0017 (DP, ACDS), the FWF P 23775-B17 (TS and EK

Human occupation continuity in southern Italy towards the end of the Middle Palaeolithic: a palaeoenvironmental perspective from Apulia

After the last interglacial [Marine Isotope Stage (MIS) 5e] Europe was affected by several harsh climatic oscillations. In this context southern Italy acted, like the rest of peninsular Mediterranean Europe, as a \u2018glacial refugium\u2019, allowing the survival of various species, and was involved in the spread of \u2018cold taxa\u2019 (e.g. woolly mammoth and woolly rhino) only during the coldest phases (MIS 4 and MIS 2). Both late Mousterian and early Upper Palaeolithic sites testify to a human occupation continuity in southern Italy and especially in Apulia in this time span. Here we present a focus on three key Apulian Palaeolithic sequences (Grotta di Santa Croce, Riparo L'Oscurusciuto and Grotta del Cavallo \u2013 layers F\u2010E) jointly spanning from the late MIS 4 to the demise of Neanderthals around 43 ka. Novel chronological, sedimentological and zooarchaeological data are discussed for the first time in the light of the palaeoenvironmental information provided by recent analyses carried out on a speleothem from Pozzo Cucu\u300 cave (Bari) and the results of the magnetic susceptibility analysis from Riparo L'Oscurusciuto. This integrated reading allows a better understanding of the role played by the Apulian region as both a refugium for late Neaderthals and a suitable habitat for the early settling of modern humans