2,409 research outputs found
Role of the methylene amidogen (H2CN) radical in the atmospheres of Titan and Jupiter
The methylene amidogen (H2CN) radical can be shown to be an important intermediate in models for the formation of HCN (via N + CH3) and the recombination of H to H2 (via H + HCN) on Titan as well as in models for the formation of HCN (via NH2 + C2H3) in the atmosphere of Jupiter. Experiments in our laboratory in a discharge flow system with mass spectrometric detection of both reactants and products have established that the major product channel (90 percent for the reaction N + CH3 is that leading to H2CN + H. The same result was obtained for N + CD3 yields D2CN + D. The rate constant for the reaction D + D2CN yields DCN + D2 was measured for the first time and k(298 K) greater than 7 x 10(exp -11) cu cm/s was found. The same result was obtained for the H atom reaction. This is the final step in the reaction sequence leading to HCN on both Titan and Jupiter and to formation of H2 from H on Titan. The first measurement of the ionization potentials for H2CN and D2CN was also made. From electron impact studies I.P. = (9.6 + or - 1.0) eV was obtained for both radicals. An upperlimit of I.P. less than 11.6 eV came from observations of the H2CN radical by photoionization mass spectrometry using an Ar resonance lamp (106.7 nm). Further photoionization experiments are planned using synchrotron radiation plus monochromator as a tunable vacuum UV light source
Interventions for treating pain and disability in adults with complex regional pain syndrome - An overview of systematic reviews
This article is available open access through the publisher’s website at the link below. Copyright © 2013 The Cochrane Collaboration.Background - There is currently no strong consensus regarding the optimal management of complex regional pain syndrome although a multitude of interventions have been described and are commonly used.
Objectives - To summarise the evidence from Cochrane and non-Cochrane systematic reviews of the effectiveness of any therapeutic intervention used to reduce pain, disability or both in adults with complex regional pain syndrome (CRPS).
Methods - We identified Cochrane reviews and non-Cochrane reviews through a systematic search of the following databases: Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects (DARE), Ovid MEDLINE, Ovid EMBASE, CINAHL, LILACS and PEDro. We included non-Cochrane systematic reviews where they contained evidence not covered by identified Cochrane reviews. The methodological quality of reviews was assessed using the AMSTAR tool. We extracted data for the primary outcomes pain, disability and adverse events, and the secondary outcomes of quality of life, emotional well being and participants' ratings of satisfaction or improvement. Only evidence arising from randomised controlled trials was considered. We used the GRADE system to assess the quality of evidence.
Main results - We included six Cochrane reviews and 13 non-Cochrane systematic reviews. Cochrane reviews demonstrated better methodological quality than non-Cochrane reviews. Trials were typically small and the quality variable.
There is moderate quality evidence that intravenous regional blockade with guanethidine is not effective in CRPS and that the procedure appears to be associated with the risk of significant adverse events.
There is low quality evidence that bisphosphonates, calcitonin or a daily course of intravenous ketamine may be effective for pain when compared with placebo; graded motor imagery may be effective for pain and function when compared with usual care; and that mirror therapy may be effective for pain in post-stroke CRPS compared with a 'covered mirror' control. This evidence should be interpreted with caution. There is low quality evidence that local anaesthetic sympathetic blockade is not effective. Low quality evidence suggests that physiotherapy or occupational therapy are associated with small positive effects that are unlikely to be clinically important at one year follow up when compared with a social work passive attention control.
For a wide range of other interventions, there is either no evidence or very low quality evidence available from which no conclusions should be drawn.
Authors' conclusions - There is a critical lack of high quality evidence for the effectiveness of most therapies for CRPS. Until further larger trials are undertaken, formulating an evidence-based approach to managing CRPS will remain difficult
Contemporary splinting practice in the UK for adults with neurological dysfunction: A cross-sectional survey
This article is made available through the Brunel Open Access Publishing Fund.Aim: To explore the contemporary splinting practice of UK occupational therapists and physiotherapists for adults with neurological dysfunction.
Method: Cross-sectional online survey of members of the Association of Chartered Physiotherapists in Neurology and College of Occupational Therapists Specialist Section Neurological Practice.
Results: Four hundred and twenty therapists completed the survey. Contracture management is the most common rationale for therapists splinting adults with neurological dysfunction. Other shared therapeutic goals of splinting include maintaining muscle and joint alignment, spasticity management, function, pain management and control of oedema. Considerable clinical uncertainty was uncovered in practice particularly around wearing regimens of splints. Most therapists have access to locally-derived splinting guidelines, which may contribute to this diversity of practice.
Conclusions: This study provides a unique insight into aspects of contemporary splinting practice among UK therapists, who belong to a specialist neurological professional network and work in a number of different health-care settings with adults who have a neurological condition. Study findings show a wide variation in splinting practice, thereby indicating a potential need for national guidance to assist therapists in this area of clinical uncertainty. Further research is required to establish best practice parameters for splinting in neurological rehabilitation
Strong Correlations in Actinide Redox Reactions
Reduction-oxidation (redox) reactions of the redox couples An(VI)/An(V),
An(V)/An(IV), and An(IV)/An(III), where An is an element in the family of early
actinides (U, Np, and Pu), as well as Am(VI)/Am(V) and Am(V)/Am(III), are
modeled by combining density functional theory with a generalized Anderson
impurity model that accounts for the strong correlations between the 5f
electrons. Diagonalization of the Anderson impurity model yields improved
estimates for the redox potentials and the propensity of the actinide complexes
to disproportionate.Comment: 17 pages, 10 figure, 3 tables. Corrections and clarifications; this
version has been accepted for publication in The Journal of Chemical Physic
Self reported aggravating activities do not demonstrate a consistent directional pattern in chronic non specific low back pain patients: An observational study
Question: Do the self-reported aggravating activities of chronic non-specific low back pain
patients demonstrate a consistent directional pattern? Design: Cross-sectional observational
study. Participants: 240 chronic non specific low back pain patients. Outcome measure: We
invited experienced clinicians to classify each of the three self-nominated aggravating
activities from the Patient Specific Functional Scale by the direction of lumbar spine
movement. Patients were described as demonstrating a directional pattern if all nominated
activities moved the spine into the same direction. Analyses were undertaken to determine if
the proportion of patients demonstrating a directional pattern was greater than would be
expected by chance. Results: In some patients, all tasks did move the spine into the same
direction, but this proportion did not differ from chance (p = 0.328). There were no clinical or
demographic differences between those who displayed a directional pattern and those who did
not (all p > 0.05). Conclusion: Using patient self-reported aggravating activities we were
unable to demonstrate the existence of a consistent pattern of adverse movement in patients
with chronic non-specific low back pain
Rectification in one--dimensional electronic systems
Asymmetric current--voltage () curves, known as the diode or
rectification effect, in one--dimensional electronic conductors can have their
origin from scattering off a single asymmetric impurity in the system. We
investigate this effect in the framework of the Tomonaga--Luttinger model for
electrons with spin. We show that electron interactions strongly enhance the
diode effect and lead to a pronounced current rectification even if the
impurity potential is weak. For strongly interacting electrons and not too
small voltages, the rectification current, , measuring
the asymmetry in the current--voltage curve, has a power--law dependence on the
voltage with a negative exponent, , leading to a bump in the
current--voltage curve.Comment: 9 pages; 3 figure
Fly-by-light flight control system technology development plan
The results of a four-month, phased effort to develop a Fly-by-Light Technology Development Plan are documented. The technical shortfalls for each phase were identified and a development plan to bridge the technical gap was developed. The production configuration was defined for a 757-type airplane, but it is suggested that the demonstration flight be conducted on the NASA Transport Systems Research Vehicle. The modifications required and verification and validation issues are delineated in this report. A detailed schedule for the phased introduction of fly-by-light system components has been generated. It is concluded that a fiber-optics program would contribute significantly toward developing the required state of readiness that will make a fly-by-light control system not only cost effective but reliable without mitigating the weight and high-energy radio frequency related benefits
Resonant Impurity States in the D-Density-Wave Phase
We study the electronic structure near impurities in the d-density-wave (DDW)
state, a possible candidate phase for the pseudo-gap region of the
high-temperature superconductors. We show that the local DOS near a
non-magnetic impurity in the DDW state is {\it qualitatively} different from
that in a superconductor with -symmetry. Since this result is a
robust feature of the DDW phase, it can help to identify the nature of the two
different phases recently observed by scanning tunneling microscopy experiments
in the superconducting state of underdoped Bi-2212 compounds
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Comparing proxy rated quality of life of people living with dementia in care homes
Background: Improving quality of life (QOL) for people with dementia is a priority. In care homes, we often rely on proxy ratings from staff and family but we do not know if, or how, they differ in care homes.
Methods: We compared 1056 pairs of staff and family DEMQOL-Proxy ratings from 86 care homes across England. We explored factors associated with ratings quantitatively using multilevel modelling and, qualitatively, through thematic analysis of 12 staff and 12 relative interviews.
Results: Staff and family ratings were weakly correlated (ρs = 0.35). Median staff scores were higher than family's (104 v. 101; p < 0.001). Family were more likely than staff to rate resident QOL as ‘Poor’ (χ2 = 55.91, p < 0.001). Staff and family rated QOL higher when residents had fewer neuropsychiatric symptoms and severe dementia. Staff rated QOL higher in homes with lower staff:resident ratios and when staff were native English speakers. Family rated QOL higher when the resident had spent longer living in the care home and was a native English. Spouses rated residents’ QOL higher than other relatives. Qualitative results suggest differences arise because staff felt good care provided high QOL but families compared the present to the past. Family judgements centre on loss and are complicated by decisions about care home placement and their understandings of dementia.
Conclusion: Proxy reports differ systematically between staff and family. Reports are influenced by the rater:staff and family may conceptualise QOL differently
Paper Session III-B - Utilization of Common Pressurized Modules of Space Station Freedom
Typical of past space projects following preliminary design review, most of the major Space Station critical subsystems will be required to reduce costs, weight, and power consumption prior to flight article hardware production. One such subsystem consists of the pressurized modules which provide the environment in which the crew members live and work. The current baseline station has two types of U.S. pressurized vessels: four resource nodes, and two modules 44 feet in length which must be transported to orbit nearly empty due to structural weight alone. Thus, user and system racks must be outfitted on-orbit rather than integrated on the ground.
In this feasibility study, a shorter common pressurized module concept is assessed. The size, transportation, location, and accommodation of system racks and user experiments are considered and compared to baseline. It is shown that the total number of flights required for station assembly can be reduced, assuming both nominal Space Shuttle capacity, as well as Advanced Solid Rocket Motor capability. Baseline module requirements regarding crew size and rack accommodation are preserved. Considering the criteria listed above and current weight estimates, a six module option appears optimal. The resulting common module is 28 feet in length, and, in addition to two end cones, contains three radial ports near one end, which allows for a racetrack configuration pattern. This pattern exhibits several desirable attributes, including dual egress capability from any U.S. module, logical functional allocation distribution, no adverse impact to international partner accommodation, and favorable air lock, cupola, Assured Crew Return Vehicle, and logistics module accommodation
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