Evaluation of a rehabilitation support service after acute stroke: Feasibility and patient/carer benefit

Background: Stroke survivors returning home after discharge from hospital and their carers require support to meet their rehabilitation needs (independence in Activities of Daily Living, exercise, psychosocial support). Voluntary or charitable care providers may be able to address some of these needs. Objective: To explore the feasibility of delivering and evaluating enhanced support to stroke survivors and their carers, with a Rehabilitation Support Worker (RSW). Methods: 16 consecutive stroke survivors and their carers were included. All participants received usual hospital care. Seven of these patients and their carers were also allocated an RSW from a charitable care provider. The RSW accompanied therapy training sessions with the patient, carer and therapist in hospital. On discharge, the RSW visited the patient and carer at home over the initial 6 week post-discharge period to support them in practising rehabilitation skills. Patient function (Barthel Index) and patient/carer confidence were independently assessed at discharge (Week 0). The above assessments and patient/carer mood (GHQ-12) and Carer Giver Strain were also assessed at Weeks 1, 6 and 12. RSWs were interviewed for their views about the service. Results: Participants’ functional ability at Week 1 post-discharge was significantly higher in the RSW group. At 6 and 12 weeks post-discharge, functional ability was not significantly different between groups. Carers in the intervention group were less confident at all time points, however, this was not significant. There was no significant effect on carer strain or well-being. Interviews with RSWs highlighted areas of their training that could be enhanced and the need for greater clarity as to their role. Conclusions: The results showed that a definitive trial of rehabilitation support is feasible. A number of obstacles however would need to be overcome including: difficulty in identifying suitable patients, clarity of the RSW role, and appropriate training content

Sustainable degradation of carbon tetrafluoride to non-corrosive useful products by incorporating reduced electron mediator within electro-scrubbing

The degradation of CF4 gas using existing technologies produces other types of greenhouse gas (CO2) and corrosive side products. The main aim of this study is to degrade CF4 gas at room temperature into useful products without producing corrosive side products by mediated electrochemical reduction (MER) process using an electrogenerated Cu1+[Ni2+(CN)4]1− mediator. Initial studies on the electrolytic reduction of the hetero-bimetallic complex in catholyte solution at anodized Ti cathode was monitored by oxidation/reduction potential (ORP) variation whether the Cu2+ or Ni2+ was reduced in the Cu2+[Ni2+(CN)4] and confirmed by electron spin resonance (ESR) spectroscopy the Cu1+[Ni2+(CN)4]1− formation. The concentration variation of Cu1+[Ni2+(CN)4]1− during CF4 injection demonstrated the degradation of CF4 followed the MER by electrogenerated Cu1+[Ni2+(CN)4]1−. Maximum removal efficiency of CF4 using electroscrubbing process was 96% at room temperature. Through the variation in gas phase parameters, the gas phase mass transfer coefficient was calculated that can facilitate scale up the developed process. Fourier transform infrared spectroscopy analysis in both the gas and solution phases showed that CH3CH2OH was the main product that formed during the removal of CF4 by electrogenerated Cu1+[Ni2+(CN)4]1− at electroscrubber along with a small amount of CF3CH3 intermediate. Importantly, this mechanism also avoided formation of the corrosive product HF

Electrochemically generated bimetallic reductive mediator Cu1+ [Ni2+ (CN) 4] 1− for the degradation of CF4 to ethanol by electro-scrubbing

Remediation of electronic gas CF4 using commercially available technologies results in another kind of greenhouse gas and corrosive side products. This investigation aimed to develop CF4 removal at room temperature with formation of useful product by attempting an electrogenerated Cu1+[Ni2+(CN)4]1− mediator. The initial electrolysis of the bimetallic complex at the anodized Ti cathode demonstrated Cu1+[Ni2+(CN)4]1− formation, which was confirmed by additional electron spin resonance results. The degradation of CF4 followed mediated electrochemical reduction by electrogenerated Cu1+[Ni2+(CN)4]1−. The removal efficiency of CF4 of 95% was achieved by this electroscrubbing process at room temperature. The spectral results of online and offline Fourier transform infrared analyzer, either in gas or in solution phase, demonstrated that the product formed during the removal of CF4 by electrogenerated Cu1+[Ni2+(CN)4]1− by electroscrubbing was ethanol (CH3CH2OH), with a small amount of trifluoroethane (CF3CH3) intermediate

In Memoriam : Barry Sinervo 1961-2021

Peer reviewedPublisher PD

delta C-13 Analysis of Mars Analog Carbonates Using Evolved Gas Cavity - Ringdown Spectrometry on the 2010 Arctic Mars Analog Svalbard Expedition (AMASE)

The 2010 Arctic Mars Analog Svalbard Expedition (AMASE) investigated two distinct geologic settings on Svalbard, using instrumentation and techniques in development for future Mars missions, such as the Mars Science Laboratory (MSL), ExoMars, and Mars Sample Return (MSR). The Sample Analysis at Mars (SAM) instrument suite, which will fly on MSL, was developed at Goddard Space Flight Center (GSFC), together with several partners. SAM consists of a quadrupole mass spectrometer (QMS), a gas chromatograph CGC), and a tunable laser spectrometer (TLS), which all analyze gases created by evolved gas analysis (EGA). The two sites studied represent "biotic" and "abiotic" analogs; the "biotic" site being the Knorringfjell fossil methane seep, and the "abiotic" site being the basaltic Sigurdfjell vent complex. The data presented here represent experiments to measure the carbon isotopic composition of carbonates from these two analogs using evolved gas analysis coupled with a commercial cavity ringdown CO2 isotopic analyzer (Picarro) as a proxy for the TLS on SAM

Sustainable removal of N2O by mediated electrocatalytic reduction at ambient temperature electro-scrubbing using electrogenerated Ni(I) electron mediator

Direct catalysis is generally proposed for nitrous oxide (N2O) abatement but catalysis is expensive, requires high temperatures, and suffers from media fouling, which limits its lifetime. In the present study, an ambient temperature electroscrubbing method was developed, coupling wet-scrubbing with an electrogenerated Ni(I) ([Ni(I)(CN)4]3−) mediator, to enable N2O reduction in a single process stage. The initial studies of 10 ppm N2O absorption into 9 M KOH and an electrolyzed 9 M KOH solution showed no removal. However, 95% N2O removal was identified through the addition of Ni(I) to an electrolyzed 9 M KOH. A change in the oxidation/reduction potential from −850 mV to −650 mV occurred following a decrease in Ni(I) concentration from 4.6 mM to 4.0 mM, which confirmed that N2O removal was mediated by an electrocatalytic reduction (MER) pathway. Online analysis identified the reaction product to be ammonia (NH3). Increasing the feed N2O concentration increased NH3 formation, which suggests that a decrease in electrolyzed solution reactivity induced by the increased N2O load constrained the side reaction with the carrier gas. Importantly, this study outlines a new regenerable method for N2O removal to commodity product NH3 at ambient temperature that fosters process intensification, overcomes the limitations generally observed with catalysis, and permits product transformation to NH3

Field Characterization of the Mineralogy and Organic Chemistry of Carbonates from the 2010 Arctic Mars Analog Svalbard Expedition by Evolved Gas Analysis

The 2010 Arctic Mars Analog Svalbard Expedition (AMASE) investigated two geologic settings using methodologies and techniques being developed or considered for future Mars missions, such as the Mars Science Laboratory (MSL), ExoMars, and Mars Sample Return. The Sample Analysis at Mars (SAM) [1] instrument suite, which will be on MSL, consists of a quadrupole mass spectrometer (QMS), a gas chromatograph (GC), and a tunable laser mass spectrometer (TLS); all will be applied to analyze gases created by pyrolysis of samples. During AMASE, a Hiden Evolved Gas Analysis-Mass Spectrometer (EGA-MS) system represented the EGA-MS capability of SAM. Another MSL instrument, CheMin, will use x-ray diffraction (XRD) and x-ray fluorescence (XRF) to perform quantitative mineralogical characterization of samples [e.g., 2]. Field-portable versions of CheMin were used during AMASE. AMASE 2010 focused on two sites that represented biotic and abiotic analogs. The abiotic site was the basaltic Sigurdfjell vent complex, which contains Mars-analog carbonate cements including carbonate globules which are excellent analogs for the globules in the ALH84001 martian meteorite [e.g., 3, 4]. The biotic site was the Knorringfjell fossil methane seep, which featured carbonates precipitated in a methane-supported chemosynthetic community [5]. This contribution focuses on EGA-MS analyses of samples from each site, with mineralogy comparisons to CheMin team results. The results give insight into organic content and organic-mineral associations, as well as some constraints on the minerals present