22,320 research outputs found

    The intra- and interrater reliability of the action research arm test: A practical test of upper extremity function in patients with stroke

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    Objectives: To determine the intra- and interrater reliability of the Action Research Arm (ARA) test, to assess its ability to detect a minimal clinically important difference (MCID) of 5.7 points, and to identify less reliable test items. Design: Intrarater reliability of the sum scores and of individual items was assessed by comparing (1) the ratings of the laboratory measurements of 20 patients with the ratings of the same measurements recorded on videotape by the original rater, and (2) the repeated ratings of videotaped measurements by the same rater. Interrater reliability was assessed by comparing the ratings of the videotaped measurements of 2 raters. The resulting limits of agreement were compared with the MCID. Patients: Stratified sample, based on the intake ARA score, of 20 chronic stroke patients (median age, 62yr; median time since stroke onset, 3.6yr; mean intake ARA score, 29.2). Main Outcome Measures: Spearman's rank-order correlation coefficient (Spearman's rho); intraclass correlation coefficient (ICC); mean difference and limits of agreement, based on ARA sum scores; and weighted kappa, based on individual items. Results: All intra- and interrater Spearman's rho and ICC values were higher than .98. The mean difference between ratings was highest for the interrater pair (.75; 95% confidence interval, .02-1.48), suggesting a small systematic difference between raters. Intrarater limits of agreement were -1.66 to 2.26; interrater limits of agreement were -2.35 to 3.85. Median weighted kappas exceeded .92. Conclusion: The high intra- and interrater reliability of the ARA test was confirmed, as was its ability to detect a clinically relevant difference of 5.7 points

    Mapping individual electromagnetic field components inside a photonic crystal

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    We present a method to map the absolute electromagnetic field strength inside photonic crystals. We apply the method to map the electric field component Ez of a two-dimensional photonic crystal slab at microwave frequencies. The slab is placed between two mirrors to select Bloch standing waves and a subwavelength spherical scatterer is scanned inside the resulting resonator. The resonant Bloch frequencies shift depending on the electric field at the position of the scatterer. To map the electric field component Ez we measure the frequency shift in the reflection and transmission spectrum of the slab versus the scatterer position. Very good agreement is found between measurements and calculations without any adjustable parameters.Comment: 12 pages, 7 figure

    Superfluid-insulator transition of the Josephson junction array model with commensurate frustration

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    We have studied the rationally frustrated Josephson-junction array model in the square lattice through Monte Carlo simulations of (2+1)(2+1)D XY-model. For frustration f=1/4f=1/4, the model at zero temperature shows a continuous superfluid-insulator transition. From the measurement of the correlation function and the superfluid stiffness, we obtain the dynamical critical exponent z=1.0z=1.0 and the correlation length critical exponent Μ=0.4±0.05\nu=0.4 \pm 0.05. While the dynamical critical exponent is the same as that for cases f=0f=0, 1/2, and 1/3, the correlation length critical exponent is surprisingly quite different. When f=1/5f=1/5, we have the nature of a first-order transition.Comment: RevTex 4, to appear in PR

    Magnetic excitations in the low-temperature ferroelectric phase of multiferroic YMn2O5 using inelastic neutron scattering

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    We studied magnetic excitations in a low-temperature ferroelectric phase of the multiferroic YMn2O5 using inelastic neutron scattering (INS). We identify low-energy magnon modes and establish a correspondence between the magnon peaks observed by INS and electromagnon peaks observed in optical absorption [1]. Furthermore, we explain the microscopic mechanism, which results in the lowest-energy electromagnon peak, by comparing the inelastic neutron spectral weight with the polarization in the commensurate ferroelectric phase.Comment: 4 pages, 4 figure

    The responsiveness of the action research arm test and the Fugl-Meyer Assessment scale in chronic stroke patients

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    The responsiveness of the Action Research Arm (ARA) test and the upper extremity motor section of the Fugl-Meyer Assessment (FMA) scale were compared in a cohort of 22 chronic stroke patients undergoing intensive forced use treatment aimed at improvement of upper extremity function. The cohort consisted of 13 men and 9 women, median age 58.5 years, median time since stroke 3.6 years. Responsiveness was defined as the sensitivity of an instrument to real change. Two baseline measurements were performed with a 2-week interval before the intervention, and a follow-up measurement after 2 weeks intensive forced use treatment. The limits of agreement, according to the Bland-Altman method, were computed as a measure of the test-retest reliability. Two different measures of responsiveness were compared: (i) the number of patients who improved more than the upper limit of agreement during the intervention; (ii) the responsiveness ratio. The limits of agreement, designating the interval comprising 95% of the differences between two measurements in a stable individual, were -5.7 to 6.2 and -5.0 to 6.6 for the ARA test and the FMA scale, respectively. The possible sum scores range from 0 to 57 (ARA) and from 0 to 66 (FMA). The number of patients who improved more than the upper limit were 12 (54.5%) and 2 (9.1%); and the responsiveness ratios were 2.03 and 0.41 for the ARA test and the FMA scale, respectively. These results strongly suggest that the ARA test is more responsive to improvement in upper extremity function than the FMA scale in chronic stroke patients undergoing forced use treatment

    A Molecular Line Observation toward Massive Clumps Associated with Infrared Dark Clouds

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    We have surveyed the N2H+ J=1-0, HC3N J=5-4, CCS J_N=4_3-3_2, NH3 (J, K) = (1, 1), (2, 2), (3, 3), and CH3OH J=7-6 lines toward the 55 massive clumps associated with infrared dark clouds by using the Nobeyama Radio Observatory 45 m telescope and the Atacama Submillimeter Telescope Experiment 10 m telescope. The N2H+, HC3N, and NH3 lines are detected toward most of the objects. On the other hand, the CCS emission is detected toward none of the objects. The [CCS]/[N2H+] ratios are found to be mostly lower than unity even in the Spitzer 24 micron dark objects. This suggests that most of the massive clumps are chemically more evolved than the low-mass starless cores. The CH3OH emission is detected toward 18 out of 55 objects. All the CH3OH-detected objects are associated with the Spitzer 24 micron sources, suggesting that star formation has already started in all the CH3OH-detected objects. The velocity widths of the CH3OH J_K=7_0-6_0 A+ and 7_{-1}-6_{-1} E lines are broader than those of N2H+ J=1-0. The CH3OH J_K=7_0-6_0 A+ and 7_{-1}-6_{-1} E lines tend to have broader linewidth in the MSX dark objects than in the others, the former being younger or less luminous than the latter. The origin of the broad emission is discussed in terms of the interaction between an outflow and an ambient cloud.Comment: Accepted to Ap

    The use of oscillatory signals in the study of genetic networks

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    The structure of a genetic network is uncovered by studying its response to external stimuli (input signals). We present a theory of propagation of an input signal through a linear stochastic genetic network. It is found that there are important advantages in using oscillatory signals over step or impulse signals, and that the system may enter into a pure fluctuation resonance for a specific input frequency.Comment: 46 pages, 5 figures. Submitted to PNAS on May 27th 2004. The paper is under consideratio

    Pitfalls in the design and analysis of paediatric clinical trials: a case of a ‘failed’ multi-centre study, and potential solutions

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    Aim: To increase awareness of possible pitfalls in the design and analysis of a multi-centre randomized clinical trial and to give an overview of alternative study designs and their consequences for power analyses in case of limited availability of trial participants
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