The Impact of Cognitive Functioning on Daily Occupations for People with Multiple Sclerosis: A Qualitative Study

Background: Cognitive rehabilitation research in multiple sclerosis is ever-developing, but the impact of cognitive difficulties, seen in 40% to 80% of people, on daily occupations is not well known. The aim of this study is to explore the needs of people with MS who have self-reported cognitive deficits. Methods: An exploratory qualitative descriptive research design was used. Data was collected through semi-structured telephone interviews with the participants. Recordings were transcribed and analyzed thematically. Results: Seven participants were recruited (mean age 47). Three themes were developed through associations found in the data. “Neglected symptom” reported the participants’ frustrations around the importance afforded to cognition by health care providers. “Impact on participation in daily occupations” described the everyday impacts of cognitive difficulties. “Adaptations and adjustments to continued participation” reported how the participants manage, despite their difficulties. Conclusion: The findings describe how cognitive difficulties affect individuals with multiple sclerosis and their occupations, as well as the dissatisfaction felt with the progress in and access to cognitive treatment and research. The results indicate the need for occupation-focused interventions in cognition for people with multiple sclerosis that address daily challenges

Factors affecting handling qualities of a lift-fan aircraft during steep terminal area approaches

The XV-5B lift-fan aircraft was used to explore the factors affecting handling qualities in the terminal area. A 10 deg ILS approach task was selected to explore these problems. Interception of the glide slope at 457.2 m, glide slope tracking, deceleration along the glide slope to a spot hover were considered. Variations in airplane deck angle, deceleration schedule, and powered-lift management were studied. The overall descent performance envelope was identified on the basis of fan stall, maximum comfortable descent rate, and controllability restrictions. The collective-lift stick provided precise glide slope tracking capability. The pilot preferred a deck-parallel attitude for which he used powered lift to control glide slope and pitch attitude to keep the angle of attack near zero. Workload was reduced when the deceleration schedule was delayed until the aircraft was well established on the glide slope, since thrust vector changes induced flight path disturbances

Bankruptcy and State Collections: The Case of the Missing Garnishments

Recent bankruptcy reforms were spurred in part by a bankruptcy filing rate that has more than doubled in the last ten years and that has risen by approximately six hundred percent over the last generation. Some attribute this surge in filings to Americans\u27 greater willingness to avoid debts by declaring bankruptcy. Most academics, however, argue that more Americans are forced into bankruptcy by crushing debt burdens and aggressive collections techniques. Surprisingly, the literature has largely ignored data on the use of these collections techniques. This Article examines the use of one of the most important collections tools, garnishment, in two jurisdictions: the Commonwealth of Virginia and Cook County, Illinois. While the bankruptcy filing rate has risen dramatically in each of these jurisdictions, the rate of garnishment has declined. Because prior studies specifically cite garnishment as one of the leading triggers of bankruptcy, the missing garnishments in each of these jurisdictions challenge the claim that an increase in financial distress has caused the rise in bankruptcy filings

Credit Markets, Exemptions, and Households with Nothing to Exempt

American bankruptcy law has offered a fresh start in every state for over one hundred years. As a result, econometric studies of consumer bankruptcy often focus on one of the few aspects of the law that has varied significantly across time and across states: exemptions. Professors Gropp, Scholz and White published the first article to test the effect of exemptions on credit markets. Consistent with theory, they found that residents of states with larger exemptions pay higher interest rates than those in states with lower exemptions andface an increased probability that they will be denied credit. These effects were most pronounced for poor households. This result is surprising because exemptions only allow a household to keep what it has. The difference between a $100,000 exemption and an exemption with no dollar limit should not matter if the household has little or no assets to exempt. This essay examines alternative explanations for why exemptions appear to have a disproportionate impact on the poor. Unfortunately, however, none of these alternative explanations proves entirely satisfactory

The X-ray Transient XTE J2012+381

We present optical and infrared observations of the soft X-ray transient (SXT) XTE J2012+381 and identify the optical counterpart with a faint red star heavily blended with a brighter foreground star. The fainter star is coincident with the radio counterpart and appears to show weak H alpha emission and to have faded between observations. The RXTE/ASM lightcurve of XTE J2012+381 is unusual for an SXT in that after an extended linear decay, it settled into a plateau state for about 40 days before undergoing a weak mini-outburst. We discuss the nature of the object and suggest similarities to long orbital period SXTs.Comment: 5 pages, 7 postscript figures included, uses mn.sty. Accepted for publication in MNRA

Non-Procrustean Bankruptcy

Many advocates of bankruptcy reform bristle at aspects of the bankruptcy system they find distributively unfair. These scholars point to the instances in which wealthy debtors have been able to retain million-dollar homes and luxury items, examples which at first glance might offend any reasonable sense of decency or fairness. Yet if bankruptcy provides insurance otherwise unavailable because of market failures, then an ideal bankruptcy system would embrace much of this inequality in post-bankruptcy standards of living. The wealthy generally choose private contracts that ensure their high standards of living. Though others envy these benefits, they do not wish to pay the premiums these policies require. To the extent that credit markets force a debtor to pay premiums (in the form of higher interest rates) for the debt relief she would likely receive, forcing all debtors to accept the same standard of living forces each debtor to accept the same Procrustean insurance that is too meager for some and too dear for others. This argument requires strong assumptions that reasonable minds may reject. If one rejects these assumptions, however, then one must question not only the debt relief secured by upper-class bankrupts, but also the debt relief offered to the middle class

Broke but not Bankrupt: Consumer Debt Collection in State Courts

Virginia, with a population of about seven million, has averaged more than a million civil filings a year since the late 1980s. The overwhelming majority of these filings seek to collect debts from consumers, and most judgments go unpaid. Despite this apparent insolvency, civil litigation appears to be only tenuously related to consumer bankruptcy whether one looks at Virginia or at the nation as a whole. Nationally, the non-business bankruptcy filing rate rose by more than 350% between 1980 and 2002, while the civil filing rate rose by about 12%. Prior research suggests that relatively few bankrupt debtors have been sued by their creditors in state court, that most bankrupt debtors are drawn from the middle class, and that bankrupt debtors own homes at nearly the same rate as the general population. This Article finds that few civil defendants file for bankruptcy, that civil litigation is concentrated in cities and counties with lower socioeconomic characteristics, and that civil defendants in Virginia have a significantly lower rate of homeownership than the general population. In other words, the bankruptcy statistics exclude many defaulting and insolvent consumers, and these consumers may be disproportionately drawn from the more disadvantaged segments of society