Parkinson\u27s Disease and Occupational Therapy: Evidence Based Practice

The therapeutic benefit of occupational therapy with Parkinson\u27s disease has not been studied in great detail. The purpose of this Scholarly Project was to provide extensive and comprehensive evidence-based information about Parkinson\u27s disease as it applies to occupational therapists. This information was utilized to generate clinical guidelines in the form of a user-friendly manual meant for practicing OTs in treating Parkinson\u27s disease. An extensive literature review was performed using PubMed to determine current evidence-based practice that occupational therapists and other rehabilitation therapists were currently using. Following the review of literature, a needs assessment was completed per survey directed towards practicing OTs. The goal of the survey was to validate the need for these guidelines throughout the country. The user-friendly manual is based on the Ecological Model of Human Performance using establish/restore, adapt/modify and prevent as intervention strategies. The product is titled Guidelines for Occupational Therapists in Treating Parkinson\u27s disease. It consists of four portions, the first focuses on a brief introduction to the disease, the next explains the general neuroscience behind the disease, the third portion gives a brief overview of medical interventions including pharmacological and surgical. The fourth part of the product consists of the evidence-based guidelines for OTs to follow when treating persons with Parkinson\u27s disease. Occupational therapy offers many benefits to persons with Parkinson\u27s disease, including modification and/or adaptation of activities of daily living CADLs) with or without the use of adaptive equipment. Other intervention areas OTs may focus on are: therapeutic exercise routines, caregiver education, joint movement coordination, energy conservation and social skills · training. This user-friendly manual will provide occupational therapists with the necessary information to treat persons with Parkinson\u27s disease using evidence based guidelines

The 2011 Eruption of the Recurrent Nova T Pyxidis; the Discovery, the Pre-eruption Rise, the Pre-eruption Orbital Period, and the Reason for the Long Delay

We report the discovery by M. Linnolt on JD 2455665.7931 (UT 2011 April 14.29) of the sixth eruption of the recurrent nova T Pyxidis. This discovery was made just as the initial fast rise was starting, so with fast notification and response by observers worldwide, the entire initial rise was covered (the first for any nova), and with high time resolution in three filters. The speed of the rise peaked at 9 mag/day, while the light curve is well fit over only the first two days by a model with a uniformly expanding sphere. We also report the discovery by R. Stubbings of a pre-eruption rise starting 18 days before the eruption, peaking 1.1 mag brighter than its long-time average, and then fading back towards quiescence 4 days before the eruption. This unique and mysterious behavior is only the fourth known anticipatory rise closely spaced before a nova eruption. We present 19 timings of photometric minima from 1986 to February 2011, where the orbital period is fast increasing with P/dot{P}=313,000 yrs. From 2008-2011, T Pyx had a small change in this rate of increase, so that the orbital period at the time of eruption was 0.07622950+-0.00000008 days. This strong and steady increase of the orbital period can only come from mass transfer, for which we calculate a rate of 1.7-3.5x10^-7 Mo/yr. We report 6116 magnitudes between 1890 and 2011, for an average B=15.59+-0.01 from 1967-2011, which allows for an eruption in 2011 if the blue flux is nearly proportional to the accretion rate. The ultraviolet-optical-infrared spectral energy distribution is well fit by a power law with flux proportional to nu^1.0, although the narrow ultraviolet region has a tilt with a fit of \nu^{1/3}. We prove that most of the T Pyx light is not coming from a disk, or any superposition of blackbodies, but rather is coming from some nonthermal source.Comment: ApJ submitted, 62 pages, 8 figures; much added data, updated analysi

Survey of Period Variations of Superhumps in SU UMa-Type Dwarf Novae

We systematically surveyed period variations of superhumps in SU UMa-type dwarf novae based on newly obtained data and past publications. In many systems, the evolution of superhump period are found to be composed of three distinct stages: early evolutionary stage with a longer superhump period, middle stage with systematically varying periods, final stage with a shorter, stable superhump period. During the middle stage, many systems with superhump periods less than 0.08 d show positive period derivatives. Contrary to the earlier claim, we found no clear evidence for variation of period derivatives between superoutburst of the same object. We present an interpretation that the lengthening of the superhump period is a result of outward propagation of the eccentricity wave and is limited by the radius near the tidal truncation. We interpret that late stage superhumps are rejuvenized excitation of 3:1 resonance when the superhumps in the outer disk is effectively quenched. Many of WZ Sge-type dwarf novae showed long-enduring superhumps during the post-superoutburst stage having periods longer than those during the main superoutburst. The period derivatives in WZ Sge-type dwarf novae are found to be strongly correlated with the fractional superhump excess, or consequently, mass ratio. WZ Sge-type dwarf novae with a long-lasting rebrightening or with multiple rebrightenings tend to have smaller period derivatives and are excellent candidate for the systems around or after the period minimum of evolution of cataclysmic variables (abridged).Comment: 239 pages, 225 figures, PASJ accepte