11,383 research outputs found

    Community based rehabilitation after severe traumatic brain injury: a randomised controlled trial

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    Objective: Evaluation of multidisciplinary community based outreach rehabilitation after severe traumatic brain injury (TBI). Methods: A randomised controlled trial compared outreach treatment (mean of two sessions a week for 27.3 (SD 19.1) weeks) in community settings such as participants' homes, day centres, or workplaces, with provision of written information detailing alternative resources. Follow up for an average of 24.8 months after initial allocation was by a blinded independent assessor. Participants were aged 16–65, had sustained severe TBI between 3 months and 20 years previously, and had no other neurological conditions. Of 110 initially allocated, 48 outreach and 46 information participants were successfully followed up. Primary outcome measures (Barthel index (BI) and the brain injury community rehabilitation outcome-39 (BICRO-39)) focused on levels of activity and participation. Secondary measures were the functional independence measure and the functional assessment measure (FIM+FAM) and, in a subgroup of 46 participants, the hospital anxiety and depression scale. Analyses were non-parametric. Results: outreach participants were significantly more likely to show gains on the BI and the BICRO-39 total score and self organisation and psychological wellbeing subscales. There were likewise strong trends (p<0.10) for BICRO personal care and mobility, and on the FIM+FAM for personal care and cognitive functions. Differential improvements were not seen for indices of socialising, productive employment, anxiety, or depression. Median changes on individual subscales were small, reflecting the diversity of the clinical population; however, 40% of outreach but only 20% of information participants made a clinically significant improvement of 2+ points on at least one BICRO-39 scale. Time since injury was unrelated to the magnitude of gains. Conclusions: This is the first RCT of multidisciplinary community rehabilitation after severe TBI, and suggests that even years after injury it can yield benefits which outlive the active treatment period

    The measurement of the winds near the ocean surface with a radiometer-scatterometer on Skylab

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    The author has identified the following significant results. There were a total of twenty-six passes in the ZLV mode that yielded useful data. Six were in the in-track noncontiguous mode; all others were in the cross-track noncontiguous mode. The wind speed and direction, as effectively determined in a neutral atmosphere at 19.5 m above the sea surface, were found for each cell scanned by S193. It is shown how the passive microwave measurements were used both to compute the attenuation of the radar beam and to determine those cells where the backscatter measurement was suspect. Given the direction of the wind from some independent source, with the typical accuracy of measurement by available meteorological methods, a backscatter measurement at a nadir angle of 50, 43, or 32 deg can be used to compute the speed of the wind averaged over the illuminated area

    Derivation of Internally-Consistent Thermodynamic Data by the Technique of Mathematical Programming: a Review with Application the System MgO-SiO2-H2O

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    The problem of deriving an optimal set of thermodynamic properties of minerals from a diverse experimental data base is reviewed and a preferred methodology proposed. Mathematical pro-gramming(MAP) methods extend the linear programming (LIP) approach first presented by Gordon (1973), and make it possible to account for the type of information conveyed, and the uncertainties attending both phase equilibrium data and direct measurements of phase properties. For phase equilibrium data which are (in most cases) characterized by non-normal error distributions across experimental brackets, the midpoint of a bracket is no more probable than other points, and the data are best treated by considering the inequality in the change in Gibbs free energy of reaction at each half-bracket. Direct measurements of phase properties can be assumed to have approximately normal error distributions, and the MAP technique optimizes agreement with these values by using the principles of least squares in the definition of an objective function. The structure of this problem, treatment of uncertainties in various types of experimental data, and method of optimizing final solutions are discussed in some detail. The method is applied to experimental data in the MgO-SiO2-H2O system, where inconsistencies among the data are resolved and an optimal set of thermodynamic properties is presented. The derived standard state entropies and volumes agree with all direct measurements (within their uncertainties), as do enthalpies of formation from the elements except for those of talc (+16 kJ mol−1), anthophyllite (+ 14 kJ mol−1), and brucite (−1 kJ mol−1). Stable phase relations in the system have the topology predicted by Greenwood (1963, 1971), with quartz- and forsterite-absent invariant points at 683 °C-6-4 kb and 797 °C-12 kb respectively, repeating at 552 °C-120 b and 550 °C-55 b. The thermodynamic analysis indicates little remaining flexibility in the phase relations, which, when combined with suitable activity models for solid solution, should allow for accurate determination of the conditions of metamorphism of ultramafic rock

    Circuit enhances vertical resolution in raster scanning systems

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    Circuit enhances vertical resolution in electron beam, raster scanning systems exhibiting aperture distortion in the vertical direction. A sensitized area /image/ produces a video output when the scan beam nears it, which causes vertical elongation in the reconstructed images of all sensitized areas on the surface
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