Mapping the Rehabilitation Interventions of a Community Stroke Team to the Extended International Classification of Functioning, Disability and Health Core Set for Stroke

Purpose: This study aim was to evaluate if the Extended International Classification of Functioning, Disability and Health Core Set for Stroke captured the interventions of a community stroke rehabilitation team situated in a large city in New Zealand. It was proposed that the results would identify the contribution of each discipline, and the gaps and differences in service provision to Māori and non-Māori. Applying the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in this way would also inform whether this core set should be adopted in New Zealand. Method: Interventions were retrospectively extracted from 18 medical records and linked to the International Classification of Functioning, Disability and Health and the Extended International Classification of Functioning, Disability and Health Core Set for Stroke. The frequencies of linked interventions and the health discipline providing the intervention were calculated. Results: Analysis revealed that 98.8% of interventions provided by the rehabilitation team could be linked to the Extended International Classification of Functioning, Disability and Health Core Set for Stroke, with more interventions for body function and structure than for activities and participation, no interventions for emotional concerns and limited interventions for community, social and civic life. Results support previous recommendations for additions to the EICSS. Conclusions: The results support the use of the Extended International Classification of Functioning, Disability and Health Core Set for Stroke in New Zealand, and demonstrates its use as a quality assurance tool that can evaluate the scope and practice of a rehabilitation service

On Waylen's regular axisymmetric similarity solutions

We review the similarity solutions proposed by Waylen for a regular time-dependent axisymmetric vacuum space-time, and show that the key equation introduced to solve the invariant surface conditions is related by a Baecklund transform to a restriction on the similarity variables. We further show that the vacuum space-times produced via this path automatically possess a (possibly homothetic) Killing vector, which may be time-like.Comment: 8 pages, LaTeX2

Mechanisms of Volatile Anesthetic-Induced Myocardial Protection

Volatile anesthetics protect myocardium against reversible and irreversible ischemic injury. Experimental evidence from several in vitro and in vivo animal models demonstrates that volatile agents enhance the recovery of stunned myocardium and reduce the size of myocardial infarction after brief or prolonged coronary artery occlusion and reperfusion, respectively. This protective effect persists after the anesthetic has been discontinued, a phenomenon known as anesthetic-induced preconditioning (APC). Recent clinical data also demonstrates evidence of APC in patients during cardiac surgery. Thus, administration of volatile anesthetics may represent a novel therapeutic approach that reduces morbidity and mortality associated with perioperative myocardial ischemia and infarction. The mechanisms responsible for APC appear to be similar to those implicated in ischemic preconditioning, but nonetheless have subtle differences. Accumulating evidence indicates that APC is characterized by complex signal transduction pathways that may include adenosine receptors, G proteins, protein kinase C, reactive oxygen species, and sarcolemmal or mitochondrial KATP channels. Opioid analgesics may further enhance APC as well. This article will review recent advances in the understanding of mechanisms responsible for volatile anesthetic-induced myocardial protection

Microfocal X-Ray Computed Tomography Post-Processing Operations for Optimizing Reconstruction Volumes of Stented Arteries During 3D Computational Fluid Dynamics Modeling

Restenosis caused by neointimal hyperplasia (NH) remains an important clinical problem after stent implantation. Restenosis varies with stent geometry, and idealized computational fluid dynamics (CFD) models have indicated that geometric properties of the implanted stent may differentially influence NH. However, 3D studies capturing the in vivo flow domain within stented vessels have not been conducted at a resolution sufficient to detect subtle alterations in vascular geometry caused by the stent and the subsequent temporal development of NH. We present the details and limitations of a series of post-processing operations used in conjunction with microfocal X-ray CT imaging and reconstruction to generate geometrically accurate flow domains within the localized region of a stent several weeks after implantation. Microfocal X-ray CT reconstruction volumes were subjected to an automated program to perform arterial thresholding, spatial orientation, and surface smoothing of stented and unstented rabbit iliac arteries several weeks after antegrade implantation. A transfer function was obtained for the current post-processing methodology containing reconstructed 16 mm stents implanted into rabbit iliac arteries for up to 21 days after implantation and resolved at circumferential and axial resolutions of 32 and 50 μm, respectively. The results indicate that the techniques presented are sufficient to resolve distributions of WSS with 80% accuracy in segments containing 16 surface perturbations over a 16 mm stented region. These methods will be used to test the hypothesis that reductions in normalized wall shear stress (WSS) and increases in the spatial disparity of WSS immediately after stent implantation may spatially correlate with the temporal development of NH within the stented region

Jacobi multipliers, non-local symmetries and nonlinear oscillators

Constants of motion, Lagrangians and Hamiltonians admitted by a family of relevant nonlinear oscillators are derived using a geometric formalism. The theory of the Jacobi last multiplier allows us to find Lagrangian descriptions and constants of the motion. An application of the jet bundle formulation of symmetries of differential equations is presented in the second part of the paper. After a short review of the general formalism, the particular case of non-local symmetries is studied in detail by making use of an extended formalism. The theory is related to some results previously obtained by Krasil'shchi, Vinogradov and coworkers. Finally the existence of non-local symmetries for such two nonlinear oscillators is proved.Comment: 20 page

Pyrolysis of Real Packaging Plastic Waste Streams in a Fluidized-Bed Pilot Plant

Pyrolysis of different packaging plastics waste streams (DKR350) and films/foils (DKR310) was conducted at the pilot scale in a fluidized-bed reactor at 500 °C and 5 kg h-1 with the aim to investigate the impact of sorting, the variability of the feedstock, and process parameters on the yield and quality of feedstocks and product oils. Sorting involved enriching the feedstock in polyolefins content, by mostly removing PET and clogged materials. The results indicated that sorting improved the quality of oil to a limited extent, compared to unsorted streams, as further processing will still be required before due to the presence of heteroatoms (e.g., O, Cl). With the reactor and conditions used, the effect of the variable composition of this type of feedstock (e.g., depending on the location or season) is very limited, as the yield and quality of the condensable product remain similar. Both the effect of temperature and residence time is relevant and comparable, as an increase in either of these parameters favor cracking and aromatization reactions in the gas phase, leading to less condensable product and lower aliphatics/aromatics ratios in their composition.</p

Pyrolysis of mixed plastic waste (DKR-350):Effect of washing pre-treatment and fate of chlorine

Pyrolysis of a post-consumer plastic waste stream (DKR-350) has been performed at a laboratory scale in a fixed-bed reactor at 500 °C. DKR-350 is a complex mixture of post-consumer plastics comprising polyethylene, polypropylene, polystyrene, polyethylene terephthalate, clogged materials, multilayer flexibles, together with considerable amounts of biogenic and inorganic residues and halogens. The influence of different washing procedures on feedstock composition and pyrolysis product yields was investigated. Washing effectively lowers the biogenic, inorganic and halogen contents in DKR-350, though does not affect the yield of the desired oil/wax (66 to 69 wt%). 27% of the oil/wax lies in the boiling point range of naphtha and gasoline (150 ppm), showing the presence of recalcitrant organochlorides in the feed. Thus, post-treatment is still required to upgrade it to feedstock for the production of fuels and/or chemicals

EHA/ESMO Clinical Practice Guidelines for the Management of Malignant Lymphoma: Recommendations for the Second Phase of the COVID-19 Pandemic

No abstract availabl

Variational Lie algebroids and homological evolutionary vector fields

We define Lie algebroids over infinite jet spaces and establish their equivalent representation through homological evolutionary vector fields.Comment: Int. Workshop "Nonlinear Physics: Theory and Experiment VI" (Gallipoli, Italy; June-July 2010). Published v3 = v2 minus typos, to appear in: Theoret. and Mathem. Phys. (2011) Vol.167:3 (168:1), 18 page