The effects of graded motor imagery and its components on chronic pain: A systematic review and meta-analysis

This is the post-print version of the final paper published in The Journal of Pain. The published article is available from the link below. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. Copyright @ 2013 The American Pain Society.Graded motor imagery (GMI) is becoming increasingly used in the treatment of chronic pain conditions. The objective of this systematic review was to synthesize all evidence concerning the effects of GMI and its constituent components on chronic pain. Systematic searches were conducted in 10 electronic databases. All randomized controlled trials (RCTs) of GMI, left/right judgment training, motor imagery, and mirror therapy used as a treatment for chronic pain were included. Methodological quality was assessed using the Cochrane risk of bias tool. Six RCTs met our inclusion criteria, and the methodological quality was generally low. No effect was seen for left/right judgment training, and conflicting results were found for motor imagery used as stand-alone techniques, but positive effects were observed for both mirror therapy and GMI. A meta-analysis of GMI versus usual physiotherapy care favored GMI in reducing pain (2 studies, n = 63; effect size, 1.06 [95% confidence interval, .41, 1.71]; heterogeneity, I2 = 15%). Our results suggest that GMI and mirror therapy alone may be effective, although this conclusion is based on limited evidence. Further rigorous studies are needed to investigate the effects of GMI and its components on a wider chronic pain population.NHMR

The Long-term Coercive Effect of State Community Benefit Laws on Hospital Community Health Orientation

This study is an examination of the long-term coercive effect of state community benefit laws (CB Laws) on the provision of community health activities in U.S. acute care hospitals. The sample included all the not-for-profit and investor owned acute care hospitals for which 1994 and 2006 AHA Annual Survey data were available. A panel design was used to longitudinally examine the effect that state CB Laws had on hospital community health orientation activities and the provision of health promotion services, after controlling for the influence of other organizational and environmental variables that might affect these activities and services. The authors found that both CB Law state and non CB Law state hospitals increased their number of orientation activities and promotion services from 1994 to 2006. However, there was no significant difference in the gains in these activities and services between these two groups of hospitals. These results suggest that other environmental and organizational factors may mediate the effect of the state CB Laws over time

Demonstrating the negligible contribution of optical ACS/HST galaxies to source-subtracted cosmic infrared background fluctuations in deep IRAC/Spitzer images

We study the possible contribution of optical galaxies detected with the {\it Hubble} ACS instrument to the near-IR cosmic infrared (CIB) fluctuations in deep {\it Spitzer} images. The {\it Spitzer} data used in this analysis are obtained in the course of the GOODS project from which we select four independent $10^\prime\times10^\prime$ regions observed at both 3.6 and 4.5 \um. ACS source catalogs for all of these areas are used to construct maps containing only their emissions in the ACS $B, V, i, z$-bands. We find that deep Spitzer data exhibit CIB fluctuations remaining after removal of foreground galaxies of a very different clustering pattern at both 3.6 and 4.5 \um than the ACS galaxies could contribute. We also find that there are very good correlations between the ACS galaxies and the {\it removed} galaxies in the Spitzer maps, but practically no correlations remain with the residual Spitzer maps used to identify the CIB fluctuations. These contributions become negligible on larger scales used to probe the CIB fluctuations arising from clustering. This means that the ACS galaxies cannot contribute to the large-scale CIB fluctuations found in the residual Spitzer data. The absence of their contributions also means that the CIB fluctuations arise at z\gsim 7.5 as the Lyman break of their sources must be redshifted past the longest ACS band, or the fluctuations have to originate in the more local but extremely low luminosity galaxies.Comment: Ap.J.Letters, in press. Minor revisions to mathc the accepted versio

Calibrating Array Detectors

The development of sensitive large format imaging arrays for the infrared promises to provide revolutionary capabilities for space astronomy. For example, the Infrared Array Camera (IRAC) on SIRTF will use four 256 x 256 arrays to provide background limited high spatial resolution images of the sky in the 3 to 8 micron spectral region. In order to reach the performance limits possible with this generation of sensitive detectors, calibration procedures must be developed so that uncertainties in detector calibration will always be dominated by photon statistics from the dark sky as a major system noise source. In the near infrared, where the faint extragalactic sky is observed through the scattered and reemitted zodiacal light from our solar system, calibration is particularly important. Faint sources must be detected on this brighter local foreground. We present a procedure for calibrating imaging systems and analyzing such data. In our approach, by proper choice of observing strategy, information about detector parameters is encoded in the sky measurements. Proper analysis allows us to simultaneously solve for sky brightness and detector parameters, and provides accurate formal error estimates. This approach allows us to extract the calibration from the observations themselves; little or no additional information is necessary to allow full interpretation of the data. Further, this approach allows refinement and verification of detector parameters during the mission, and thus does not depend on a priori knowledge of the system or ground calibration for interpretation of images.Comment: Scheduled for ApJS, June 2000 (16 pages, 3 JPEG figures

New measurements of cosmic infrared background fluctuations from early epochs

Cosmic infrared background fluctuations may contain measurable contribution from objects inaccessible to current telescopic studies, such as the first stars and other luminous objects in the first Gyr of the Universe's evolution. In an attempt to uncover this contribution we have analyzed the GOODS data obtained with the Spitzer IRAC instrument, which are deeper and cover larger scales than the Spitzer data we have previously analyzed. Here we report these new measurements of the cosmic infrared background (CIB) fluctuations remaining after removing cosmic sources to fainter levels than before. The remaining anisotropies on scales > 0.5 arcmin have a significant clustering component with a low shot-noise contribution. We show that these fluctuations cannot be accounted for by instrumental effects, nor by the Solar system and Galactic foreground emissions and must arise from extragalactic sources.Comment: Ap.J.Letters, in pres

Interacting bosons in an optical lattice: Bose-Einstein condensates and Mott insulator

A dense Bose gas with hard-core interaction is considered in an optical lattice. We study the phase diagram in terms of a special mean-field theory that describes a Bose-Einstein condensate and a Mott insulator with a single particle per lattice site for zero as well as for non-zero temperatures. We calculate the densities, the excitation spectrum and the static structure factor for each of these phases.Comment: 17 pages, 5 figures; 1 figure added, typos remove