Safe patient handling and movement device training: a hands-on continuing education program for occupational therapy practitioners

Thesis (O.T.D.)--Boston UniversityHealthcare workers are reported to have a higher rate of work-related injuries than workers in private industry and most these injuries have been attributed to client handling tasks (BLS, 2009). Client handling tasks for all healthcare workers can include tasks such as: transfers, bed mobility, activities of daily living (ADL), sitting and standing balance training, ambulation/gait, wound care, lymphedema care and splinting. Research on the nursing profession indicates at least 12% of nurses are injured during client handling tasks and that at least 12% of nursing staff will leave client care or the profession because of an injury or fear of an injury (ANA, 20 12). Occupational therapists are conducting research to understand the injury rates of occupational therapy practitioners and the impact on the profession. The current research appears to mirror the nursing profession's findings. At least 12% of occupational therapy practitioners are injured during client care tasks and at least 12% will leave client care or the profession because of an injury or out of fear of an injury (Campo & Darragh, 2010; Darragh, et al., 2009; & Rice, et al., 2011). The nursing profession has found that the use of safe patient handling and movement (SPHM) devices and techniques can reduce the incidents of client care related injuries among nursing staff (ANA, 2012). However, the use of SPHM devices has been primarily limited to surface to surface transfers and rarely used for therapeutic purposes. In fact, research indicates that therapy practitioners, for many reasons, currently do not believe that SPHM is appropriate for therapeutic interventions (Campo & Darragh, 2010; & Darragh, Campo, & Olson, 2009). This research also indicates therapy practitioner beliefs that the SPHM providers have not met the needs of therapy practitioners to use the devices therapeutically. The Program is a face-to-face hands-on continuing education program designed to help occupational therapy practitioners investigate the causes and impacts of client care related injuries, problem-solve alternative direct care options and practice therapeutic use of SPHM devices and techniques

EmoteControl: An interactive system for real-time control of emotional expression in music

Several computer systems have been designed for music emotion research that aim to identify how different structural or expressive cues of music influence the emotions conveyed by the music. However, most systems either operate offline by pre-rendering different variations of the music or operate in real-time but focus mostly on structural cues. We present a new interactive system called EmoteControl, which allows users to make changes to both structural and expressive cues (tempo, pitch, dynamics, articulation, brightness, and mode) of music in real-time. The purpose is to allow scholars to probe a variety of cues of emotional expression from non-expert participants who are unable to articulate or perform their expression of music in other ways. The benefits of the interactive system are particularly important in this topic as it offers a massive parameter space of emotion cues and levels for each emotion which is challenging to exhaustively explore without a dynamic system. A brief overview of previous work is given, followed by a detailed explanation of EmoteControl’s interface design and structure. A portable version of the system is also described, and specifications for the music inputted in the system are outlined. Several use-cases of the interface are discussed, and a formal interface evaluation study is reported. Results suggested that the elements controlling the cues were easy to use and understood by the users. The majority of users were satisfied with the way the system allowed them to express different emotions in music and found it a useful tool for research

Facteurs de variation du poids vif et de l’état corporel du zébu Arabe en zone soudanienne du Tchad

L’objectif de cette étude a été de déterminer les effets saisonniers sur l’évolution du poids et de la note d’état corporel (NEC) des zébus arabes du Tchad. Durant les cinq saisons liées au calendrier fourrager, des mensurations et des notations d’état corporel ont été effectuées sur des bovins mâles et femelles. Les mesures barymétriques ont concerné le périmètre thoracique. La NEC a été déterminée par palpation de la région lombaire de l’animal. L’alternance saisonnière a provoqué de grandes variations de poids et de l’état corporel des animaux qui ont été notées selon le sexe et l’âge. La variabilité des performances pondérales (2,2 ± 16 kg à 64 ±24 kg) et d’état corporel des animaux, obtenue à partir des facteurs individuels (sexe ou âge) et saisonniers (disponibilité fourragère), a montré que ce sont les animaux d’âge supérieur à 6 ans qui ont perdu plus de poids en saison sèche. Les femelles de 3-6 ans (64 ± 44,8 kg) et les mâles de 2-3 ans (54 ± 43 kg) ont montré les fluctuations pondérales les plus significatives en saison des pluies. Afin de minimiser les risques et maximiser la production en élevage extensif, des améliorations dans la conduite des animaux ont été proposées.Mots clés : Variations fourragères - Poids - Etat corporel - Zébu arabe - Tcha

Latest Developments on HeII Co-Current Two-Phase Flow Studies

Large scale experiments were performed at CEA Grenoble with the support of CERN to simulate and understand the HeII cooling circuit of the LHC. This paper describes the latest results obtained in HeII co-current two-phase flow configuration. First we summarize thermal and hydraulic behaviour of flows obtained in a 40 mm I.D., 86 m long tube inclined at 1.4% which resembles closely the LHC heat exchanger tube. For low vapour velocities, the flow pattern is found to be stratified. A model based on this observation has been developed which fits very well the measured pressure losses. However the wetted surface predicted by the model underestimates the measured one, notably for high vapour velocities. In that case, liquid droplets entrainment takes place. Droplets landing on the tube wall increase the wetted surface. Thus we infer that for higher vapour velocities, the stratified two-phase flow model should not be applied anymore. In order to validate the range of availability of the model, and begin to draw a flow pattern map, a 20 mm I.D. horizontal test sector was built and experiments were performed. First results are presented here, including the observation of the stratified-annular flow transition

Brucella sero-prevalence and modifiable risk factors among predisposed cattle keepers and consumers of un-pasteurized milk in Mbarara and Kampala districts, Uganda

Background: Brucellosis is an important zoonotic disease in developing countries yet it is often not recognized, goes unreported and does not attract public health action by these governments including Uganda.Objective: To estimate the sero-prevalence and assess modifiable risk factors associated with Brucella seropositivity in cattle keepers and consumers of unpasteurized milk in Uganda.Methods: One group comprised of 161 individuals randomly selected from households living on farms that had Brucella sero-positive cattle and/or goats in Mbarara District from an earlier survey; the second group comprised of 168 randomly selected individuals attending an HIV voluntary counseling and testing clinic in Kampala District. Sera samples were tested using Rapid Plate Agglutination Test, Standard Tube Agglutination Test and cELISA.Results: The sero-prevalence of brucellosis among exposed cattle keepers in Mbarara and consumers of unpasteurised milk in Kampala Districts was 5.8% (95%CI: 3.3%, 8.3%) and 9% (95%CI: 13.3%, 4.7%), respectively. Consumption of unboiled milk was significantly (p=0.004) associated with seropositivity in Mbarara District. There was no association between sero-positivity with age, sex and awareness of human brucellosis.Conclusion: Human brucellosis is prevalent among livestock rearing communities and consumers of unpasteurised milk. The continued consumption of unboiled milk is a major health risk.Key words: Brucellosis, Modifiable risk factors, Sero-prevalence, unpasteurised milk, cELIS

The origin of overpotential in lithium-mediated nitrogen reduction

The verification of the lithium-mediated nitrogen reduction system in 2019 has led to an explosion in the literature focussing on improving the metrics of faradaic efficiency, stability, and activity. However, while the literature acknowledges the vast intrinsic overpotential for nitrogen reduction due to the reliance on in situ lithium plating, it has thus far been difficult to accurately quantify this overpotential and effectively analyse further voltage losses. In this work, we present a simple method for determining the Reversible Hydrogen Electrode (RHE) potential in the lithium-mediated nitrogen reduction system. This method allows for an investigation of the Nernst equation and reveals sources of potential losses. These are namely the solvation of the lithium ion in the electrolyte and resistive losses due to the formation of the solid electrolyte interphase. The minimum observed overpotential was achieved in a 0.6 M LiClO4, 0.5 vol% ethanol in tetrahydrofuran electrolyte. This was −3.59 ± 0.07 V vs. RHE, with a measured faradaic efficiency of 6.5 ± 0.2%. Our method allows for easy comparison between the lithium-mediated system and other nitrogen reduction paradigms, including biological and homogeneous mechanisms

Diabetes mellitus abrogates erythropoietin-induced cardioprotection against ischemic-reperfusion injury by alteration of the RISK/GSK-3β signaling

Recent studies reported cardioprotective effects of erythropoietin (EPO) against ischemia–reperfusion (I/R) injury through activation of the reperfusion injury salvage kinase (RISK) pathway. As RISK has been reported to be impaired in diabetes and insulin resistance syndrome, we examined whether EPO-induced cardioprotection was maintained in rat models of type 1 diabetes and insulin resistance syndrome. Isolated hearts were obtained from three rat cohorts: healthy controls, streptozotocin (STZ)-induced diabetes, and high-fat diet (HFD)-induced insulin resistance syndrome. All hearts underwent 25 min ischemia and 30 min or 120 min reperfusion. They were assigned to receive either no intervention or a single dose of EPO at the onset of reperfusion. In hearts from healthy controls, EPO decreased infarct size (14.36 ± 0.60 and 36.22 ± 4.20% of left ventricle in EPO-treated and untreated hearts, respectively, p < 0.05) and increased phosphorylated forms of Akt, ERK1/2, and their downstream target GSK-3β. In hearts from STZ-induced diabetic rats, EPO did not decrease infarct size (32.05 ± 2.38 and 31.88 ± 1.87% in EPO-treated and untreated diabetic rat hearts, respectively, NS) nor did it increase phosphorylation of Akt, ERK1/2, and GSK-3β. In contrast, in hearts from HFD-induced insulin resistance rats, EPO decreased infarct size (18.66 ± 1.99 and 34.62 ± 3.41% in EPO-treated and untreated HFD rat hearts, respectively, p < 0.05) and increased phosphorylation of Akt, ERK1/2, and GSK-3β. Administration of GSK-3β inhibitor SB216763 was cardioprotective in healthy and diabetic hearts. STZ-induced diabetes abolished EPO-induced cardioprotection against I/R injury through a disruption of upstream signaling of GSK-3β. In conclusion, direct inhibition of GSK-3β may provide an alternative strategy to protect diabetic hearts against I/R injury