A simple screening method for determining knowledge of the appropriate levels of activity and risk behaviour in young people with congenital cardiac conditions

Objective: To assess a novel method for assessing risk and providing advice about activity to children and young people with congenital cardiac disease and their parents. Design and setting: Questionnaire survey in outpatient clinics at a tertiary centre dealing with congenital cardiac disease, and 6 peripheral clinics. Interventions: Children or their parents completed a brief questionnaire. If this indicated a desire for help, or a serious mismatch between advised and real level of activity, they were telephoned by a physiotherapist. Main measures of outcome: Knowledge about appropriate levels of activity, and identification of the number exercising at an unsafe level, the number seeking help, and the type of help required. Results: 253/258 (98.0%) questionnaires were returned, with 119/253 (47.0%) showing incorrect responses in their belief about their advised level of exercise; 17/253 (6.7%) had potentially dangerous overestimation of exercise. Asked if they wanted advice 93/253 (36.8%) said “yes”, 43/253 (17.0%) “maybe”, and 117/253 (46.2%) “no”. Of those contacted by phone to give advice, 72.7% (56/77) required a single contact and 14.3% (11/77) required an intervention that required more intensive contact lasting from 2 up to 12 weeks. Of the cohort, 3.9% (3/77) were taking part in activities that put them at significant risk. Conclusions: There is a significant lack of knowledge about appropriate levels of activity, and a desire for further advice, in children and young people with congenital cardiac disease. A few children may be at very significant risk. These needs can be identified, and clinical risk reduced, using a brief self-completed questionnaire combined with telephone follow-up from a suitably knowledgeable physiotherapist

The views of young people with congenital cardiac disease on designing the services for their treatment

Background and purpose: There is little documented evidence of young people with congenital cardiac disease being consulted as to what help, if any, they really need in relation to their condition. Most research concentrates on the medical aspects of the condition. There are studies of psychological and social functioning, but few have directly sought the opinions of the young people. More recent research has indicated a need for health professionals to develop services to meet both psychosocial and physical needs of young people with congenital cardiac disease. The findings of the recent Kennedy Report support this need. The purpose of this study was to explore the views of young people with a range of congenital cardiac conditions, on what would help them better deal with their condition, and when and how help might be provided. Methods: This was a qualitative study using semi-structured interviews. We interviewed 16 young people in their own home. Interviews were tape-recorded and transcribed. Analysis was conducted using the "Framework" method. Results: Whilst most of the young people interviewed actively manage their condition, they think more support from others would be beneficial. Issues of activity and communication were cited most often as areas requiring more understanding from people they interact with, for example teachers and peers. The discussion focuses on how health professionals might change or develop their practice to help young people better cope with their condition. Conclusions: Most of the young people interviewed in this study had developed their own strategies for coping with their condition. Although this is a small study, the young people provided important suggestions as to how health professionals could better develop current services

The views of parents concerning the planning of services for rehabilitation of families of children with congenital cardiac disease

Background and purpose: Although much previous research has focused on the medical aspects of congenital cardiac disease, there is a growing body of research which suggests that families may need help and support with the wider issues associated with the medical condition. We have previously ascertained from young people with congenital cardiac disease their views on this subject. The purpose of this study was to obtain the views of their parents about the need for, and shape of, services for rehabilitation. Methods: This was a qualitative study using semi-structured interviews. We interviewed 17 parents in their own home. Interviews were tape-recorded and transcribed. Results: Parents would welcome more help and support from health professionals to enable them to manage more effectively the condition with their children. Particular areas of concern relate to the information they receive about the condition; communication between themselves and health professionals; establishing safe levels of activity; and managing the condition at school. Conclusions: This is a small study of the experiences and views of parents, which provides some important information on ways in which health professionals. could address the current lack of services for rehabilitation

Data processing method for a weak, moving telemetry signal

Method of processing data from a spacecraft, where the carrier has a low signal-to-noise ratio and wide unpredictable frequency shifts, consists of analogue recording of the noisy signal along with a high-frequency tone that is used as a clock to trigger a digitizer

Experimental and analytical strains in an edge-cracked sheet

Elastoplastic strain distribution in edge-cracked metal sheets determined by optical interference and moire technique

Further studies of the coupled chemically reacting boundary layer and charring ablator. Part 1 - Summary Final report

Computer program development for charring ablative materials, chemically reacting laminar boundary layers, and turbulent boundary layer initiatio

The microseismic response at the In Salah Carbon Capture and Storage (CCS) site

AbstractIn 2004, injection of carbon dioxide (CO2) to be stored at depth began at the In Salah Carbon Capture and Storage (CCS) site and a pilot microseismic monitoring array was installed in 2009. The In Salah project presents an unusual dataset since it is the first major non-Enhanced Oil Recovery (EOR) CCS project to be monitored for microseismicity. This paper outlines an extensive seismological study using a range of techniques, relying mainly on data from a single three-component geophone. Important information is derived from the data, such as event locations, event magnitudes and fracture characteristics, that could be used in real-time to regulate the geomechanical response of a site to CO2 injection. The event rate closely follows the CO2 injection rate, with a total of 9506 seismic events detected. The locations for a carefully selected subset of events are estimated to occur at or below the injection interval, thereby ruling out fault or fracture activation caused by CO2 migration at shallow depths. A very small number of events (11) with less well-constrained locations may have occurred above the injection interval. However, there is no microseismic evidence that these events are correlated with CO2 injection and we suggest they are caused by stress transfer rather than CO2 migration into the caprock. The observed maximum moment magnitude, Mw=1.7, is consistent with estimated fracture dimensions at the injection depth. Fracture orientation estimated using shear-wave splitting analysis is approximately NW-SE, in agreement with fracture orientations inferred from logging data. During periods of high injection rates the degree of anisotropy increases slightly and then falls back to original values when injection rates fall. This implies the CO2 is opening pre-existing fractures which then close as pressure decreases.This an important proof-of-concept study that proves the value of microseismic monitoring of CCS projects, even with a limited array. We thus recommend that microseismic monitoring arrays are installed prior to CO2 injection at future CCS sites to enhance our understanding by making baseline and comparative studies possible. This would also provide real-time monitoring of the geomechanical response to injection, allowing operators to modify injection parameters and to help ensure the safe operation of a project

The K-band spectrum of the Cataclysmic Variable RXJ 0502.8+1624 (Tau 4)

We present the K-band spectrum of the cataclysmic variable RXJ 0502.8+1624 (Tau 4). The spectrum shows a broad, smooth hump, with no absorption lines from the secondary star visible. This result indicates that the infrared light of this system is dominated by cyclotron emission, and, in combination with the optical spectrum and X-ray properties, suggests that Tau 4 is a polar-type cataclysmic variable (CV). The system was chosen for study because the broadband JHK colours of Tau 4 are consistent with an L-type dwarf, suggesting that this system might harbour an elusive sub-stellar secondary star. The result presented here, along with the recent discovery of cyclotron emission in the cataclysmic variable EF Eri, suggests that care must be taken when using the broadband JHK colours of CVs when targeting searches for sub-stellar secondary starsComment: 4 pages, to appear as research note in A&