JMIR Res Protoc

Background: Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use. Objective: The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use. Methods: A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied. Results: This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019. Conclusions: Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools

The REHAB-LAB model for individualized assistive device co-creation and production

Assistive devices are designed to enhance individuals with disabilities' functional abilities. The rise of 3D printing technology enabled the production of individualized assistive devices (IADs). A REHAB-LAB is intended for IAD provision involving technical referents and occupational therapists. This study aimed to develop the REHAB-LAB logic model; to explore its fidelity and desirability; and to explore the characteristics of arising initiatives of IAD production. The REHAB-LAB logic model development involved stakeholders throughout the research process. A pragmatic multimethod approach followed two phases 1) logic model development and 2) exploration of its fidelity and desirability. The REHAB-LAB logic model presented the resources (equipment, space, human) required to implement IAD provision in a rehabilitation center, and the expected deliverables (activities and outputs). The REHAB-LAB logic model highlights the interdisciplinarity of IAD provision including occupational therapists, doctors, engineers, managers, and technical referents and places the users at the center of the IAD production. Results confirmed the fidelity and desirability of the REHAB-LAB logic model. The REHAB-LAB logic model can be used as a reference for future healthcare organizations wishing to implement an IAD provision. This research highlighted the interest of IAD provision based on the REHAB-LAB model involving users and transdisciplinary practice

Synchronized autonomous sampling reveals coupled pulses of biomass and export of morphologically different diatoms in the Southern Ocean

The Southern Ocean hosts a large diversity of diatoms that play a major role in carbon fluxes. How the seasonal dynamics in the abundance of specific taxa in surface waters are linked to their contribution to carbon export remains, however, poorly understood. We present here synchronized observations from autonomous samplers deployed in the mixed layer (42 m) and at depth (300 m) during an entire productive season (October 2016 to March 2017) in the iron fertilized region of the central plateau of Kerguelen. Microscopic observations of surface water collected every 11 d revealed 30 different diatom taxa, each contributing to > 1% of total carbon biomass throughout the season. The synchronized sampling revealed a common pattern for diatom taxa belonging to 12 different genera, consisting, for a given taxon, in short pulses of abundance in surface waters followed by export. We explain these coupled dynamics by the formation of aggregates that are produced when a critical diatom cell abundance is reached. This control of the maximum abundance of a given diatom drives the seasonal change in the slope of the size‐class distribution of the diatom community. It further constrains the total carbon diatom biomass in a narrow range of values due to the inverse relationship between total diatom abundance and their community‐weighted mean biomass. This coupling let us conclude that aggregate formation, and the export to depth, occurs throughout the season for diatoms with different morphologies

Southern Ocean

International audienc

Observing the Antarctic continental shelf with CTD-instrumented elephant seals

Since 2004, several hundreds of diving marine animals, mainly Antarctic and Arctic seals, were fitted with a new generation of Argos-CTD tags developed by the Sea Mammal Research Unit of the University of St. Andrews in Scotland. These tags can be used to investigate simultaneously the at-sea ecology of these animals while collecting valuable oceanographic data. Some of these species are able to travel thousands of kilometres, continuously diving to great depths (590 ± 200 m, with maxima around 2000m). Through the years, these animals have become an essential source of temperature and salinity profiles (MEOP-CTD database available at http://www.meop.net), especially for the polar oceans, complementing efficiently the Argo array. One region where the use of instrumented seals has been particularly successful is the Antarctic continental shelf. Recent contributions to the study of the Antarctic Bottom Water production area near Prydz Bay, the rapidly-thinning ice shelves in Amundsen Bay, or the stratification in the marginal ice zone, are demonstrating the rapidly growing value of these data for Polar Research