Application of Time Domain Reflectometers in Urban Settings

Time domain reflectometers (TDRs) are in-situ monitoring probes that record soil moisture content when calibrated to a particular soil. Typically TDRs are used in agricultural settings, but this technology may also be applied to urban soils. The Urban Watershed Management Branch located at the Edison Environmental Center (EEC) has been exploring the use of TDRs as a way to monitor stormwater infiltration practices. TDRs are installed in pilot- and full-scale bioretention units (e.g., rain gardens). The TDRs are capable of measuring soil moisture and sensing the wetting front as the stormwater infiltrates through the planting media and into the native soil. Recently, a new permeable pavement parking lot was constructed at the EEC. This parking lot was designed for long-term monitoring and included the installation of TDRs, both in the crushed concrete storage layer and in the underlying soil. Early indications suggest that while this novel application of TDRs in crushed concrete may not provide calibrated moisture content, wetting fronts correspond to those of the TDRs in soils. Extensive bench-scale testing was performed in crushed concrete prior to the permanent installation below the paved surfaces as a proof of concept test. Application of this technology may be suitable to urban areas that are interested in modifying tree pit design, controlling stormwater through rain gardens and porous pavements, or using manufactured or engineered soils, and seek or require supporting data that water is infiltrating and available to plants

A perturbation-based balance training program for older adults: study protocol for a randomised controlled trial

<p>Abstract</p> <p>Background</p> <p>Previous research investigating exercise as a means of falls prevention in older adults has shown mixed results. Lack of specificity of the intervention may be an important factor contributing to negative results. Change-in-support (CIS) balance reactions, which involve very rapid stepping or grasping movements of the limbs, play a critical role in preventing falls; hence, a training program that improves ability to execute effective CIS reactions could potentially have a profound effect in reducing risk of falling. This paper describes: 1) the development of a perturbation-based balance training program that targets specific previously-reported age-related impairments in CIS reactions, and 2) a study protocol to evaluate the efficacy of this new training program.</p> <p>Methods/Design</p> <p>The training program involves use of unpredictable, multi-directional moving-platform perturbations to evoke stepping and grasping reactions. Perturbation magnitude is gradually increased over the course of the 6-week program, and concurrent cognitive and movement tasks are included during later sessions. The program was developed in accordance with well-established principles of motor learning, such as individualisation, specificity, overload, adaptation-progression and variability. Specific goals are to reduce the frequency of multiple-step responses, reduce the frequency of collisions between the stepping foot and stance leg, and increase the speed of grasping reactions. A randomised control trial will be performed to evaluate the efficacy of the training program. A total of 30 community-dwelling older adults (age 64–80) with a recent history of instability or falling will be assigned to either the perturbation-based training or a control group (flexibility/relaxation training), using a stratified randomisation that controls for gender, age and baseline stepping/grasping performance. CIS reactions will be tested immediately before and after the six weeks of training, using platform perturbations as well as a distinctly different method of perturbation (waist pulls) in order to evaluate the generalisability of the training effects.</p> <p>Discussion</p> <p>This study will determine whether perturbation-based balance training can help to reverse specific age-related impairments in balance-recovery reactions. These results will help to guide the development of more effective falls prevention programs, which may ultimately lead to reduced health-care costs and enhanced mobility, independence and quality of life.</p

Pneumatosis Intestinalis in Adult Bilateral Lung Transplant Patients: A Single Institution Experience and Literature Review

Pneumatosis intestinalis (PI) is a radiologic finding which is characterized by the accumulation of gas within the bowel wall. This radiologic finding is traditionally thought of in the sense of intestinal ischemia. An uncommon cause of this finding is post organ transplantation. We did an institutional and literature review of this finding to demonstrate its distinct imaging features and benign nature. It was observed to occur in approximately 5.2% of patients post lung transplant (23/442). On imaging, it displays an expansile/bubbly appearance of gas within the bowel wall that is distinct from the traditional findings seen in intestinal ischemia. Clinical review showed that posttransplant patients with PI can be successfully managed conservatively with early enteral nutrition, oxygen, antibiotics, and limited follow-up imaging. With the increasing use of organ transplantation, PI is being diagnosed with increased frequency. It is important to let clinicians know of this entity and its potential outcomes