498 research outputs found

    On the diurnal variability in F2-region plasma density above the EISCAT Svalbard radar

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    Two long runs of EISCAT Svalbard Radar (ESR), in February 2001 and October 2002, have been analysed with respect to variability in the F2 region peak density and altitude. The diurnal variation in the F2 peak density exhibits one maximum around 12:00 MLT and another around 23:00 MLT, consistent with solar wind controlled transport of EUV ionized plasma across the polar cap from day to night. High density plasma patch material is drawn in through the cusp inflow region independent of IMF <I>B<sub>Y</sub></I>. There is no apparent IMF <I>B<sub>Y</sub></I> asymmetry on the intake of high density plasma, but the trajectory of its motion is strongly <I>B<sub>Y</sub></I> dependent. Comparison with the international reference ionosphere model (IRI2001) clearly demonstrates that the model does not take account of the cross-polar transport of F2-region plasma, and hence has limited applicability in polar cap regions

    Combined cognitive and vocational interventions after mild to moderate traumatic brain injury: study protocol for a randomized controlled trial

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    Background A considerable proportion of patients with mild to moderate traumatic brain injury (TBI) experience long-lasting somatic, cognitive, and emotional symptoms that may hamper their capacity to return to work (RTW). Although several studies have described medical, psychological, and work-related factors that predict RTW after TBI, well-controlled intervention studies regarding RTW are scarce. Furthermore, there has traditionally been weak collaboration among health-related rehabilitation services, the labor and welfare sector, and workplaces. Methods/design This study protocol describes an innovative randomized controlled trial in which we will explore the effect of combining manualized cognitive rehabilitation (Compensatory Cognitive Training [CCT]) and supported employment (SE) on RTW and related outcomes for patients with mild to moderate TBI in real-life competitive work settings. The study will be carried out in the southeastern region of Norway and thereby be performed within the Norwegian welfare system. Patients aged 18–60 years with mild to moderate TBI who are employed in a minimum 50% position at the time of injury and sick-listed 50% or more for postconcussive symptoms 2 months postinjury will be included in the study. A comprehensive assessment of neurocognitive function, self-reported symptoms, emotional distress, coping style, and quality of life will be performed at baseline, immediately after CCT (3 months after inclusion), following the end of SE (6 months after inclusion), and 12 months following study inclusion. The primary outcome measures are the proportion of participants who have returned to work at 12-month follow-up and length of time until RTW, in addition to work stability as well as work productivity over the first year following the intervention. Secondary outcomes include changes in self-reported symptoms, emotional and cognitive function, and quality of life. Additionally, a qualitative RTW process evaluation focused on organizational challenges at the workplace will be performed. Discussion The proposed study will combine cognitive and vocational rehabilitation and explore the efficacy of increased cross-sectoral collaboration between specialized health care services and the labor and welfare system. If the intervention proves effective, the project will describe the cost-effectiveness and utility of the program and thereby provide important information for policy makers. In addition, knowledge about the RTW process for persons with TBI and their workplaces will be provided. Trial registration ClinicalTrials.gov, NCT03092713. Registered on 10 March 2017
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