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

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

Right-handed Electrons in Radiative Muon Decay

Electrons emitted in the radiative decay mu^- -> e^- anti-nu_e nu_mu gamma have a significant probability of being right-handed, even in the limit m_e -> 0. Such ``wrong-helicity'' electrons, arising from helicity-flip bremsstrahlung, contribute an amount alpha/(4 pi) Gamma_0 to the muon decay width (Gamma_0 = G_F^2 m^5_mu/ (192 pi^3)). We use the helicity-flip splitting function D_hf (z) of Falk and Sehgal (Phys. Lett. B 325, 509 (1994)) to obtain the spectrum of the right-handed electrons and the photons that accompany them. For a minimum photon energy E_gamma = 10 MeV (20 MeV), approximately 4% (7%) of electrons in radiative mu-decay are right-handed.Comment: 8pages, 2 figures; v2: small correction in para (ii) of summar

Conformal Mappings and Dispersionless Toda hierarchy

Let $\mathfrak{D}$ be the space consists of pairs $(f,g)$, where $f$ is a univalent function on the unit disc with $f(0)=0$, $g$ is a univalent function on the exterior of the unit disc with $g(\infty)=\infty$ and $f'(0)g'(\infty)=1$. In this article, we define the time variables $t_n, n\in \Z$, on $\mathfrak{D}$ which are holomorphic with respect to the natural complex structure on $\mathfrak{D}$ and can serve as local complex coordinates for $\mathfrak{D}$. We show that the evolutions of the pair $(f,g)$ with respect to these time coordinates are governed by the dispersionless Toda hierarchy flows. An explicit tau function is constructed for the dispersionless Toda hierarchy. By restricting $\mathfrak{D}$ to the subspace $\Sigma$ consists of pairs where $f(w)=1/\bar{g(1/\bar{w})}$, we obtain the integrable hierarchy of conformal mappings considered by Wiegmann and Zabrodin \cite{WZ}. Since every $C^1$ homeomorphism $\gamma$ of the unit circle corresponds uniquely to an element $(f,g)$ of $\mathfrak{D}$ under the conformal welding $\gamma=g^{-1}\circ f$, the space $\text{Homeo}_{C}(S^1)$ can be naturally identified as a subspace of $\mathfrak{D}$ characterized by $f(S^1)=g(S^1)$. We show that we can naturally define complexified vector fields \pa_n, n\in \Z on $\text{Homeo}_{C}(S^1)$ so that the evolutions of $(f,g)$ on $\text{Homeo}_{C}(S^1)$ with respect to \pa_n satisfy the dispersionless Toda hierarchy. Finally, we show that there is a similar integrable structure for the Riemann mappings $(f^{-1}, g^{-1})$. Moreover, in the latter case, the time variables are Fourier coefficients of $\gamma$ and $1/\gamma^{-1}$.Comment: 23 pages. This is to replace the previous preprint arXiv:0808.072

An evaluation of combined geophysical and geotechnical methods to characterize beach thickness

Beaches provide sediment stores and have an important role in the development of the coastline in response to climate change. Quantification of beach thickness and volume is required to assess coastal sediment transport budgets. Therefore, portable, rapid, non-invasive techniques are required to evaluate thickness where environmental sensitivities exclude invasive methods. Site methods and data are described for a toolbox of electrical, electromagnetic, seismic and mechanical based techniques that were evaluated at a coastal site at Easington, Yorkshire. Geophysical and geotechnical properties are shown to be dependent upon moisture content, porosity and lithology of the beach and the morphology of the beach–platform interface. Thickness interpretation, using an inexpensive geographic information system to integrate data, allowed these controls and relationships to be understood. Guidelines for efficient site practices, based upon this case history including procedures and techniques, are presented using a systematic approach. Field results indicated that a mixed sand and gravel beach is highly variable and cannot be represented in models as a homogeneous layer of variable thickness overlying a bedrock half-space

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

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

Comparison of genetic diversities in native and alien populations of hoary mustard (Hirschfeldia incana [L.] Lagreze-Fossat)

Increased selfing and inbreeding and, consequently, depauperate genetic diversities are commonly expected for alien colonies. We compared RAPDs data for native (southern Europe) and alien (British Isles) populations of hoary mustard (Hirschfeldia incana). This species is normally out-breeding, but it is capable of self- fertilization. Contrary to the common expectations, genetic diversities in native and alien populations were similar, without any strong evidence of decreased levels of genetic diversities in alien populations. A variety of factors may have contributed to this observation, including high variation in founding groups, founders originating from multiple H. incana source populations, and high rates of past and/or current gene flow. A review of other studies showed that this pattern of similar genetic diversities in native and alien populations was not unusual but has been regularly observed in other invasive plant species

Sodium Atoms in the Lunar Exotail: Observed Velocity and Spatial Distributions

The lunar sodium tail extends long distances due to radiation pressure on sodium atoms in the lunar exosphere. Our earlier observations measured the average radial velocity of sodium atoms moving down the lunar tail beyond Earth (i.e., near the anti-lunar point) to be ~ 12.5 km/s. Here we use the Wisconsin H-alpha Mapper to obtain the first kinematically resolved maps of the intensity and velocity distribution of this emission over a 15 x 15 deg region on the sky near the anti-lunar point. We present both spatially and spectrally resolved observations obtained over four nights bracketing new Moon in October 2007. The spatial distribution of the sodium atoms is elongated along the ecliptic with the location of the peak intensity drifting 3 deg east along the ecliptic per night. Preliminary modeling results suggest the spatial and velocity distributions in the sodium exotail are sensitive to the near surface lunar sodium velocity distribution. Future observations of this sort along with detailed modeling offer new opportunities to describe the time history of lunar surface sputtering over several days

Large Direct CP Violation in B^0 -> pi^+ pi^- and an Enhanced Branching Ratio for B^0 -> pi^0 pi^0

Recent measurements of B^0 -> pi pi decays reveal two features that are in conflict with conventional calculations: the channel B^0 (Bbar^0) -> pi^+ pi^- shows a large direct CP-violating asymmetry, and the channel B^0 (B^0) -> pi^0 pi^0 has an unexpectedly high branching ratio. We show that both features can be understood in terms of strong-interaction mixing of pi pi and D Dbar channels in the isospin-zero state, an effect that is important because of the large experimentally observed ratio Gamma(B^0 / Bbar^0 -> D^+ D^-) / Gamma (B^0 / Bbar^0 -> pi^+ pi^-) approx. 50. Our dynamical model correlates the branching ratios and the CP-violating parameters C and S, for the decays B^0 (Bbar^0) -> pi^+ pi^-, B^0 (Bbar^0) -> pi^0 pi^0, B^0 (Bbar^0) -> D^+ D^- and B^0 (Bbar^0) -> D^0 Dbar^0.Comment: 10 pages, 2 figures, 1 table; v2: Misprint corrected in Eq. (12), second line: -a_m replaced by +a_m. To appear in Phys. Lett.